Unknown Individual – Vascular Surgery Physician, NPI 1629024377

Unknown Individual is a healthcare provider. based in Hollywood, Florida. specializing in Vascular Surgery Physician. They hold a License No. OS7685 (FL). The NPI Number for Unknown Individual is 1629024377

Main info

Organization
Inactive
29 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1629024377
Phone
(954) 965-4922
Address
2699 STIRLING ROAD
Deactivation Date
2 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
6507836285
Professional Enrollment ID
I20040730000662
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

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Provider Addresses for Unknown Individual

  • 2699, Stirling Road, Hollywood, Broward County, Florida, 33312, United States

    STE 301/302A

    HOLLYWOOD, FL 33312

    Phone: (954) 965-4922

    Fax: (954) 515-1184

    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 15 Open Payments records for all available years, with a total value of $346.

Total Amount is formed as General ($346) + Research ($0) + Ownership ($0) = $346.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Bard Peripheral Vascular, Inc. ($123).

Total Amount

$346

General + Research + Ownership

Payments

15

Total payment records

General Amount

$346

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

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 minutes21897$0
93970Ultrasound study of arm or leg veins with compression and maneuvers200100$0
36471Injection of chemical agent into multiple incompetent veins of leg9838$0
99204New patient office or other outpatient visit, 45-59 minutes7575$0
36478Laser destruction of incompetent vein of arm or leg using imaging guidance5632$0
View full utilization report →

Insurance plans in this area (ZIP 33312)

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Provider's Procedures

Unknown Individual performs procedures in Vascular Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
VASCULAR SURGERYFL93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers4325

Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1629024377 as the unique 10-digit identifier.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Vascular Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Florida is Unknown Individual registered?
Use Hollywood, Florida as the headline location for Unknown Individual here.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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