Unknown Individual – Specialist, NPI 1518041029

Unknown Individual is a healthcare provider. based in Miami beach, Florida. specializing in Specialist. They hold a License No. ME79561 (FL). The NPI Number for Unknown Individual is 1518041029

Main info

Organization
Inactive
32 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1518041029
Phone
(305) 623-6310
Address
1345 LINCOLN RD APT 1205
Deactivation Date
27 February 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Secondary Phone
2706514430
Graduation Year
1994 (32 years ago)
PAC ID
2466559208
Group Practice PAC ID
0648182600
Professional Enrollment ID
I20180126002247

Contacts

Secure Messaging
flopez969745@oc.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:0State licenses:6Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 1345 LINCOLN RD APT 1205

    MIAMI BEACH, FL 331392271

    Phone: (305) 623-6310

    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)

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes200105$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes10264$0
99239Hospital discharge day management, more than 30 minutes101100$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes7171$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6868$0
View full utilization report →

Insurance plans in this area (ZIP 33139)

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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: 0648182600View full group profile
NameSpecialtyState
Nurse PractitionerKY
Physician AssistantKY
Nurse PractitionerKY
Family PracticeKY
Nurse PractitionerKY
Orthopedic SurgeryIL
Nurse PractitionerOH
U R O L O G YTN
Physician AssistantKY
Interventional Pain ManagementKY

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1518041029?
NPI 1518041029 belongs to Unknown Individual; compare other details if you need extra assurance.
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 Other Service Providers. Clinical services aligned with this taxonomy classification.
Where in Florida is Unknown Individual registered?
Use Miami Beach, Florida as the headline location for Unknown Individual here.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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