Unknown Individual – Colon & Rectal Surgery Physician, NPI 1467477398

Unknown Individual is a healthcare provider. based in Coral springs, Florida. specializing in Colon & Rectal Surgery Physician. They hold a License No. ME24823 (FL). The NPI Number for Unknown Individual is 1467477398

Main info

Organization
Inactive
62 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1467477398
Phone
(954) 248-3422
Address
831 CORAL RIDGE DR
Deactivation Date
7 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9542483422
Graduation Year
1964 (62 years ago)
PAC ID
8628043254
Group Practice PAC ID
6800154923
Professional Enrollment ID
I20040827000777
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

  • Coral Ridge Drive, Coral Springs, Broward County, Florida, 33071, United States

    CORAL SPRINGS, FL 33071

    Phone: (954) 248-3422

    Fax: (800) 970-6020

    Type: Location

  • 2072, Northeast 121st Road, San Souci Estates, North Miami, Miami-Dade County, Florida, 33181, United States

    NORTH MIAMI, FL 331813322

    Phone: (305) 582-8102

    Type: Mailing

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33071)

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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: 6800154923View full group profile

Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1467477398 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 Colon & Rectal Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Coral Springs, Florida.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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