Unknown Individual – Maternal & Fetal Medicine Physician, NPI 1487694584

Unknown Individual is a healthcare provider. based in Ft myers, Florida. specializing in Maternal & Fetal Medicine Physician. They hold a License No. ME77814 (FL). The NPI Number for Unknown Individual is 1487694584

Main info

Organization
Inactive
61 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1487694584
Phone
(239) 333-3826
Address
8270 COLLEGE PKWY
Deactivation Date
9 December 2020

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
7173383292
Graduation Year
1965 (61 years ago)
PAC ID
5991894602
Group Practice PAC ID
1951213115
Professional Enrollment ID
I20071204000165
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 8270 COLLEGE PKWY

    SUITE 205

    FT MYERS, FL 33919

    Phone: (239) 333-3826

    Fax: (239) 333-0592

    Type: Mailing

  • Golisano Children's Hospital of Southwest Florida, 9981, South Healthpark Drive, Cypress Cove Villas, Fort Myers, Lee County, Florida, 33908, United States

    SUITE 159

    FT MYERS, FL 33908

    Phone: (239) 481-5477

    Fax: (239) 481-5892

    Type: Location

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 33919)

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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: 1951213115View full group profile
NameSpecialtyState
Family PracticePA
-PA
-PA
N E U R O L O G YSC
Physician AssistantPA
Hospitalist, Internal MedicinePA
Certified Registered Nurse Anesthetist (Crna)PA
Physician AssistantPA
Family PracticePA
Internal Medicine, Pulmonary Disease, Sleep MedicinePA

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1487694584 — the number used across U.S. healthcare to identify this provider.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Maternal & Fetal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Ft Myers?
Public fields place Unknown Individual around Ft Myers, Florida. Always confirm the exact site before visiting.
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.