Unknown Individual – Endocrinology, Diabetes & Metabolism Physician, NPI 1396784344

Unknown Individual is a healthcare provider. based in West palm beach, Florida. specializing in Endocrinology, Diabetes & Metabolism Physician. They hold a License No. MD067480L (PA). The NPI Number for Unknown Individual is 1396784344

Main info

Organization
Inactive
51 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1396784344
Phone
(561) 659-6336
Address
1515 N FLAGLER DR
Deactivation Date
24 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5616596336
Graduation Year
1975 (51 years ago)
PAC ID
6305834367
Group Practice PAC ID
5698736601
Professional Enrollment ID
I20091103000167
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

  • 1515, North Flagler Drive, West Palm Beach, Palm Beach County, Florida, 33401, United States

    SUITE 430

    WEST PALM BEACH, FL 334013428

    Phone: (561) 659-6336

    Fax: (561) 659-2150

    Mailing address matches the actual address.

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
J0696Injection, ceftriaxone sodium, per 250 mg21611$0
99214Established patient office or other outpatient visit, 30-39 minutes3423$0
J7030Infusion, normal saline solution , 1000 cc2811$0
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less2711$0
36415Insertion of needle into vein for collection of blood sample2511$0
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Insurance plans in this area (ZIP 33401)

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Provider's Procedures

Unknown Individual performs procedures in Endocrinology, Diabetes & Metabolism Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ENDOCRINOLOGYFL76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle6459
ENDOCRINOLOGYFL83036Hemoglobin A1C level360172

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: 5698736601View full group profile
NameSpecialtyState
E N D O C R I N O L O G YFL
E N D O C R I N O L O G YFL
Nurse PractitionerFL
E N D O C R I N O L O G YFL
Endocrinology, Internal MedicineFL
Registered Dietitian Or Nutrition ProfessionalFL
E N D O C R I N O L O G YFL
Nurse PractitionerFL
E N D O C R I N O L O G YNY
E N D O C R I N O L O G YFL

Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1396784344 as the unique 10-digit identifier.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on West Palm Beach, Florida.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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