Unknown Individual – Adult Medicine Physician, NPI 1538162706

Unknown Individual is a healthcare provider. based in Boca raton, Florida. specializing in Adult Medicine Physician. They hold a License No. ME12986 (FL). The NPI Number for Unknown Individual is 1538162706

Main info

Organization
Inactive
60 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1538162706
Phone
(561) 392-0310
Address
951 NW 13TH ST
Deactivation Date
9 February 2022

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
56139203109
Graduation Year
1966 (60 years ago)
PAC ID
5193750693
Group Practice PAC ID
8527092485
Professional Enrollment ID
I20051005000239
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

  • Northwest 13th Street, Boca Raton, Palm Beach County, Florida, 33486, United States of America

    STE 3D

    BOCA RATON, FL 334862337

    Phone: (561) 392-0310

    Fax: (561) 368-0911

    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 5 Open Payments records for all available years, with a total value of $112.

Total Amount is formed as General ($112) + Research ($0) + Ownership ($0) = $112.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Abbott Laboratories ($112).

Total Amount

$112

General + Research + Ownership

Payments

5

Total payment records

General Amount

$112

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$112
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 33486)

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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: 8527092485View full group profile
NameSpecialtyState
-FL

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1538162706 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 is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Adult Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Boca Raton, Florida in the data we show; additional addresses may exist on the full record.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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