Unknown Individual – Internal Medicine Physician, NPI 1619363298

Unknown Individual is a healthcare provider. based in The villages, Florida. specializing in Internal Medicine Physician. They hold a License No. ME130383 (FL). The NPI Number for Unknown Individual is 1619363298

Main info

Organization
Inactive
35 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1619363298
Phone
(352) 259-2159
Address
1580 Santa Barbara Blvd
Deactivation Date
28 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3522592159
Graduation Year
1991 (35 years ago)
PAC ID
9234406984
Group Practice PAC ID
2365418019
Professional Enrollment ID
I20170530002438
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

Provider Addresses for Unknown Individual

  • 1580 Santa Barbara Blvd

    The Villages, FL 32159

    Phone: (352) 259-2159

    Fax: (352) 259-5731

    Type: Location

  • 1580 SANTA BARBARA BLVD

    THE VILLAGES, FL 321596827

    Phone: (352) 259-2159

    Fax: (352) 259-5731

    Type: Mailing

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 32159)

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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: 2365418019View full group profile

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1619363298; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface The Villages, Florida for Unknown Individual based on available NPPES addresses.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1619363298. Always confirm identity and privileges with the practice and licensing boards.

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