Unknown Individual – Neurology Physician, NPI 1497717797

Unknown Individual is a healthcare provider. based in Brandon, Florida. specializing in Neurology Physician. They hold a License No. ME0062100 (FL). The NPI Number for Unknown Individual is 1497717797

Main info

Organization
Inactive
49 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1497717797
Phone
(813) 654-7030
Address
500 VONDERBURG DR
Deactivation Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1977 (49 years ago)
PAC ID
7416141957
Professional Enrollment ID
I20101028001419
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

  • 500, Vonderburg Drive, Brandon, Hillsborough County, Florida, 33511, United States

    STE 314 WEST

    BRANDON, FL 335115978

    Phone: (813) 654-7030

    Fax: (813) 643-8298

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $233.

Total Amount is formed as General ($233) + Research ($0) + Ownership ($0) = $233.

Last reported payment date: 2023-08-15 • Largest payer in this snapshot: Alnylam Pharmaceuticals Inc. ($121).

Total Amount

$233

General + Research + Ownership

Payments

7

Total payment records

General Amount

$233

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-15

Latest reported date

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
99214Established patient office or other outpatient visit, 30-39 minutes535375$0
99204New patient office or other outpatient visit, 45-59 minutes132132$0
95886Needle measurement of electrical activity in arm or leg muscles, complete study2018$0
95909Nerve conduction, 5-6 studies1616$0
99213Established patient office or other outpatient visit, 20-29 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 33511)

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Provider's Procedures

Unknown Individual performs procedures in Neurology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEUROLOGYFL95819Measurement and recording of brain wave (EEG) activity, awake and asleep9793

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1497717797.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Neurology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Brandon, Florida for Unknown Individual; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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