Unknown Individual – Dermatology Physician, NPI 1609839182

Dermatology Physician

Unknown Individual is a healthcare provider. based in Coral springs, Florida. specializing in Dermatology Physician. They hold a License No. ME52062 (FL). The NPI Number for Unknown Individual is 1609839182

Main info

Organization

Inactive

42 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1609839182

Phone

(954) 752-2630

Address

3000 N UNIVERSITY DR

Deactivation Date

25 September 2025

Doctor Profile

Medical School Name

PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA

Secondary Phone

9547522630

Graduation Year

1984 (42 years ago)

PAC ID

3779778014

Group Practice PAC ID

1759284847

Professional Enrollment ID

I20101111000897

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

Loading map...

Provider Addresses for Unknown Individual

3000, North University Drive, Coral Springs, Broward County, Florida, 33065, United States
SUITE K
CORAL SPRINGS, FL 330655055
Phone: (954) 752-2630
Fax: (954) 752-9391
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $682.

Total Amount is formed as General ($682) + Research ($0) + Ownership ($0) = $682.

Last reported payment date: 2023-11-07 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($120).

Total Amount

$682

General + Research + Ownership

Payments

Total payment records

General Amount

$682

General payments

Research Amount

Research funding

Ownership Amount

Ownership interests

Ownership Count

Ownership records

Last Payment Date

2023-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

Company	Amount
Regeneron Healthcare Solutions, Inc.	$120
Dermavant Sciences, Inc.	$111
Boehringer Ingelheim Pharmaceuticals, Inc.	$74
Lilly USA, LLC	$49
Arcutis Biotherapeutics, Inc.	$45

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
17003	Destruction of precancer skin growth, 2-14 growths	1,335	204	$0
99213	Established patient office or other outpatient visit, 20-29 minutes	602	389	$0
17000	Destruction of precancer skin growth, 1 growth	419	258	$0
99214	Established patient office or other outpatient visit, 30-39 minutes	268	168	$0
11102	Biopsy of related skin growth, first growth	266	198	$0

View full utilization report →

Insurance plans in this area (ZIP 33065)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Dermatology Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
DERMATOLOGY	FL	11101	Biopsy of each additional growth of skin and/or tissue	101	70
DERMATOLOGY	FL	17003	Destruction of 2-14 skin growths	2049	274

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: 1759284847View full group profile

Name	Specialty	State
BRIAN JEFFREY KATZ (MD)	D E R M A T O L O G Y	FL
DANIEL LEBOVITS (RPA)	Physician Assistant	NY
COLETTE CAPUTO (PA C)	-	FL
ROBB ELLIOTT WILENTZ (MD)	P A T H O L O G Y	FL
DR. DAVID M SHARAF (MD)	-	FL
STUART A SOBEL (MD)	-	FL
MISS REBECCA MANDEL (PA)	Physician Assistant	FL
DR. GREGG ORIN WILENTZ (DO)	D E R M A T O L O G Y	FL
BARBARA ANN GOLDSTEIN (MD)	D E R M A T O L O G Y	FL
ASFA S AKHTAR (D.O.)	D E R M A T O L O G Y	FL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify Unknown Individual for billing?

Administrative and clinical systems typically use NPI 1609839182 for Unknown Individual.

What happens when Unknown Individual's NPI is not active?

Public data lists Unknown Individual outside the active bucket for this identifier.

How should patients interpret Unknown Individual's specialty?

The extract shows Dermatology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.

Is Unknown Individual tied to Coral Springs, Florida?

If you are local to Coral Springs, Florida, Unknown Individual may be relevant to your search.

Why is information missing for Unknown Individual?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

DR. PETER MICHAEL WALLACH (M.D.)

Dermatology Physician

1480, North University Drive, Coral Springs, Broward County, Florida, 33071, United States

NPI: 1710987391