Unknown Individual – Hematology & Oncology Physician, NPI 1558316760

Hematology & Oncology Physician

Unknown Individual is a healthcare provider. based in North palm beach, Florida. specializing in Hematology & Oncology Physician. They hold a License No. ME73721 (FL). The NPI Number for Unknown Individual is 1558316760

Main info

Organization

Inactive

61 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1558316760

Phone

(561) 627-1552

Address

12166 W END

Deactivation Date

10 April 2024

Doctor Profile

Medical School Name

OHIO STATE UNIVERSITY COLLEGE OF MEDICINE

Secondary Phone

8504811687

Graduation Year

1965 (61 years ago)

PAC ID

4981899978

Group Practice PAC ID

3375647464

Professional Enrollment ID

I20101116001107

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience19

Completeness75

Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

12166 W END
NORTH PALM BEACH, FL 334082943
Phone: (561) 627-1552
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 33408)

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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 1558316760 in the public NPI dataset.

Is Unknown Individual excluded from programs when inactive?

The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.

What taxonomy line describes Unknown Individual?

For research purposes, treat Unknown Individual as Hematology & Oncology Physician in this dataset. Clinical services aligned with this taxonomy classification.

Where should I expect Unknown Individual on a map?

Expect North Palm Beach, Florida as a primary anchor for Unknown Individual unless the record lists multiple sites.

Is the information about Unknown Individual up to date?

Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."