Unknown Individual – Audiologist, NPI 1407890585

Audiologist

Unknown Individual is a healthcare provider. based in Aventura, Florida. specializing in Audiologist. They hold a License No. AY1075 (FL). The NPI Number for Unknown Individual is 1407890585

Main info

Organization

Inactive

42 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1407890585

Phone

(954) 932-6375

Address

21097 NE 27TH CT STE 410

Deactivation Date

15 May 2024

Doctor Profile

Medical School Name

OTHER

Secondary Phone

3054444903

Graduation Year

1984 (42 years ago)

PAC ID

9133028871

Group Practice PAC ID

4587556923

Professional Enrollment ID

I20040102000068

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

Provider Addresses for Unknown Individual

21097 NE 27TH CT STE 410
AVENTURA, FL 331801249
Phone: (954) 932-6375
Fax: (954) 932-9002
Type: Mailing
2301 N University Dr
110
Pembroke Pines, FL 330243617
Phone: (954) 435-9779
Fax: (954) 450-5375
Type: Location
1330 Coral Way Ste 403
Miami, FL 331452945
Phone: (305) 325-0090
Fax: (305) 325-0082
Type: Location
747 Ponce De Leon Blvd Ste 305
Coral Gables, FL 331342073
Phone: (305) 444-4903
Fax: (305) 444-4913
Type: Location
1801 NE 123rd St Ste 315
North Miami, FL 331812883
Phone: (786) 507-4151
Fax: (786) 507-4148
Type: Location
10011 Pines Blvd Ste 201
Pembroke Pines, FL 33024
Phone: (954) 435-9779
Type: Location
15280 NW 79TH CT STE 200
MIAMI LAKES, FL 330165873
Phone: (305) 558-3724
Fax: (786) 907-4485
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
92557	Comprehensive hearing and speech recognition test	27	27	$0
92567	Test to assess middle ear function	23	23	$0

View full utilization report →

Insurance plans in this area (ZIP 33180)

Loading plans...

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: 4587556923View full group profile

Name	Specialty	State
STEVEN MARK FLETCHER (M.D.)	-	FL
EDWARD JOSEPH HILLMAN (M.D.)	O T O L A R Y N G O L O G Y	FL
DALE C HARRINGTON (D.O.)	O T O L A R Y N G O L O G Y	FL
MR. WILLIAM DALE ANDREASSEN (AU.D.)	Qualified Audiologist	FL
TRAVIS LEWIS (M.D.)	O T O L A R Y N G O L O G Y	FL
MRS. ANA T DAUSA (AUD., MS, CCC-A)	Qualified Audiologist	FL
JERRAH PICKLE (MD)	O T O L A R Y N G O L O G Y	FL
KURT MUELLNER (AUD)	Qualified Audiologist	FL
MRS. MICHELLE BIRRIEL (AUD)	Qualified Audiologist	FL
DR. JULIO DIONISIO TORRES-NAVEDO (M.D.)	O T O L A R Y N G O L O G Y	FL