Unknown Individual – Internal Medicine Physician, NPI 1538128137

Unknown Individual is a healthcare provider. based in New port richey, Florida. specializing in Internal Medicine Physician. They hold a License No. MD035846E (PA). The NPI Number for Unknown Individual is 1538128137

Main info

Organization
Inactive
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1538128137
Phone
(727) 232-0644
Address
6804 CECELIA DR
Deactivation Date
26 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7272320644
Graduation Year
null (2026 years ago)
PAC ID
3274594908
Group Practice PAC ID
4688685654
Professional Enrollment ID
I20041025001147
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:0State licenses:3Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 6804, Cecelia Drive, New Port Richey, Pasco County, Florida, 34653, United States

    NEW PORT RICHEY, FL 346534935

    Phone: (727) 232-0644

    Fax: (888) 546-0488

    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.

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

Insurance plans in this area (ZIP 34653)

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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: 4688685654View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1538128137 in the public NPI dataset.
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 is Unknown Individual's primary classification?
Internal Medicine Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is New Port Richey, Florida in our summary view.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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