Unknown Individual – Dermatology Physician, NPI 1447272026

Unknown Individual is a healthcare provider. based in Riverview, Florida. specializing in Dermatology Physician. They hold a License No. OS4442 (FL). The NPI Number for Unknown Individual is 1447272026

Main info

Organization
Inactive
45 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1447272026
Phone
(813) 880-7546
Address
10422 US Highway 301 S
Deactivation Date
10 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1981 (45 years ago)
PAC ID
7416941299
Group Practice PAC ID
7719971597
Professional Enrollment ID
I20120404000641
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

  • 10422 US Highway 301 S

    Riverview, FL 335785806

    Phone: (813) 880-7546

    Fax: (813) 374-9986

    Type: Location

  • Gunn Highway, Mullis City, Hillsborough County, Florida, 33618, United States

    TAMPA, FL 33626

    Phone: (813) 880-7546

    Fax: (813) 249-5210

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 62 Open Payments records for all available years, with a total value of $2,564.

Total Amount is formed as General ($2,564) + Research ($0) + Ownership ($0) = $2,564.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: UCB, Inc. ($1,372).

Total Amount

$2,564

General + Research + Ownership

Payments

62

Total payment records

General Amount

$2,564

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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
88305Pathology examination of tissue using a microscope, intermediate complexity804362$0
17003Destruction of precancer skin growth, 2-14 growths25630$0
88312Special stained specimen slides to identify organisms including interpretation and report144113$0
99213Established patient office or other outpatient visit, 20-29 minutes12070$0
G0406Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth11562$0
View full utilization report →

Insurance plans in this area (ZIP 33578)

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Provider's Procedures

Unknown Individual performs procedures in Dermatology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYFL11101Biopsy of each additional growth of skin and/or tissue357149
DERMATOLOGYFL77427Radiation treatment management, 5 treatments318162
DERMATOLOGYFL88304Pathology examination of tissue using a microscope, moderately low complexity9363
DERMATOLOGYFL88312Special stained specimen slides to identify organisms including interpretation and report12582

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: 7719971597View full group profile
NameSpecialtyState
Nurse PractitionerFL
Physician AssistantMD
Plastic And Reconstructive SurgeryFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1447272026 — is the standard way to identify this listing.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Dermatology Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Riverview, Florida may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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