Unknown Individual – Internal Medicine Physician, NPI 1477755676

Internal Medicine Physician

Unknown Individual is a healthcare provider. based in Palm beach gardens, Florida. specializing in Internal Medicine Physician. They hold a License No. ME112654 (FL). The NPI Number for Unknown Individual is 1477755676

Main info

Organization

Inactive

20 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1477755676

Phone

(561) 557-5052

Address

7721 N. MILITARY TRAIL

Deactivation Date

3 April 2024

Doctor Profile

Medical School Name

OTHER

Secondary Phone

Graduation Year

2006 (20 years ago)

PAC ID

8022263367

Professional Enrollment ID

I20130312000446

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

Loading map...

Provider Addresses for Unknown Individual

7721, North Military Trail, Riviera Beach, North Palm Beach, Palm Beach County, Florida, 33410, United States
1 AND 2
PALM BEACH GARDENS, FL 33410
Phone: (561) 557-5052
Fax: (561) 557-5055
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $169.

Total Amount is formed as General ($169) + Research ($0) + Ownership ($0) = $169.

Last reported payment date: 2023-11-14 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($44).

Total Amount

$169

General + Research + Ownership

Payments

Total payment records

General Amount

$169

General payments

Research Amount

Research funding

Ownership Amount

Ownership interests

Ownership Count

Ownership records

Last Payment Date

2023-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

Company	Amount
Merck Sharp & Dohme LLC	$44
Forte Bio-Pharma LLC	$35
Exact Sciences Corporation	$34
ViiV Healthcare Company	$21
Janssen Pharmaceuticals, Inc	$19

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.

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

Insurance plans in this area (ZIP 33410)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify Unknown Individual with an NPI only?

You can start verification with NPI 1477755676 for Unknown Individual, then check state licensing separately.

Why is Unknown Individual marked inactive in the NPI directory?

The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.

What taxonomy line describes Unknown Individual?

For research purposes, treat Unknown Individual as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.

What area does Unknown Individual serve?

Unknown Individual's listing highlights Palm Beach Gardens, Florida; more addresses can appear in NPPES.

Is the information about Unknown Individual up to date?

Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."