Unknown Individual – Endocrinology, Diabetes & Metabolism Physician, NPI 1538301437

Unknown Individual is a healthcare provider. based in Ft lauderdale, Florida. specializing in Endocrinology, Diabetes & Metabolism Physician. They hold a License No. ME16517 (FL). The NPI Number for Unknown Individual is 1538301437

Main info

Organization
Inactive
58 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1538301437
Phone
(954) 491-6200
Address
3075 E COMMERCIAL BLVD
Deactivation Date
22 May 2024

Doctor Profile

Medical School Name
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Secondary Phone
9544916200
Graduation Year
1968 (58 years ago)
PAC ID
4880876754
Group Practice PAC ID
2264529346
Professional Enrollment ID
I20110314000855
Data current as of
20 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

  • East Commercial Boulevard, The Landlings, Fort Lauderdale, Broward County, Florida, 33334, United States

    STE 1A

    FT LAUDERDALE, FL 333084318

    Phone: (954) 491-6200

    Fax: (954) 491-6419

    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 27 Open Payments records for all available years, with a total value of $1,109.

Total Amount is formed as General ($1,109) + Research ($0) + Ownership ($0) = $1,109.

Last reported payment date: 2024-08-13 • Largest payer in this snapshot: Abbott Laboratories ($324).

Total Amount

$1,109

General + Research + Ownership

Payments

27

Total payment records

General Amount

$1,109

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-13

Latest reported date

Top Companies

Largest payers in this snapshot

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 minutes12362$0
99213Established patient office or other outpatient visit, 20-29 minutes6137$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
99204New patient office or other outpatient visit, 45-59 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 33308)

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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: 2264529346View full group profile
NameSpecialtyState
-FL

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1538301437.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Endocrinology, Diabetes & Metabolism 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 Ft Lauderdale, Florida in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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