Unknown Individual – Internal Medicine Physician, NPI 1346240074

Unknown Individual is a healthcare provider. based in Rockledge, Florida. specializing in Internal Medicine Physician. They hold a License No. ME47086 (FL). The NPI Number for Unknown Individual is 1346240074

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1346240074
Phone
(321) 868-8312
Address
3300 S FISKE BLVD
Deactivation Date
21 February 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
3218688313
Graduation Year
1982 (44 years ago)
PAC ID
0042340101
Group Practice PAC ID
7416100672
Professional Enrollment ID
I20100616000435
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Health First Business Center (Bldg A), 3300, South Fiske Boulevard, Rockledge, Brevard County, Florida, 32955, United States

    ROCKLEDGE, FL 329554306

    Phone: (321) 868-8312

    Type: Mailing

  • North Sykes Creek Parkway, Merritt Island, Brevard County, Florida, 32952, United States

    MERRITT ISLAND, FL 329533490

    Phone: (321) 868-8312

    Fax: (321) 361-5543

    Type: Location

  • 105 S Banana River Blvd Fl 2

    Cocoa Beach, FL 329315041

    Phone: (321) 868-8312

    Fax: (321) 784-0659

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes551383$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit232232$0
99213Established patient office or other outpatient visit, 20-29 minutes4036$0
96372Injection of drug or substance under skin or into muscle3115$0
99495Transitional care management services for problem of at least moderate complexity1717$0
View full utilization report →

Insurance plans in this area (ZIP 32955)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416100672View full group profile
NameSpecialtyState
Diagnostic RadiologyFL
-FL
-FL
-FL
Physical Medicine And RehabilitationFL
Family PracticeFL
G A S T R O E N T E R O L O G YFL
-FL
G A S T R O E N T E R O L O G YFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1346240074 on file in the registry.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Rockledge, Florida as the reference point for Unknown Individual, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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