Unknown Individual – Internal Medicine Physician, NPI 1629038161

Unknown Individual is a healthcare provider. based in Lehigh acres, Florida. specializing in Internal Medicine Physician. They hold a License No. OS8128 (FL). The NPI Number for Unknown Individual is 1629038161

Main info

Organization
Inactive
29 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1629038161
Phone
(239) 369-4155
Address
1220 BUSINESS WAY
Deactivation Date
1 February 2023

Doctor Profile

Medical School Name
OHIO MEDICAL UNIVERSITY
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
3577623297
Professional Enrollment ID
I20081125000249
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

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Provider Addresses for Unknown Individual

  • 1220, Business Way, Lehigh Acres, Lee County, Florida, 33936, United States

    UNIT 1

    LEHIGH ACRES, FL 339366007

    Phone: (239) 369-4155

    Fax: (239) 369-1950

    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 33936)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1629038161 — the number used across U.S. healthcare to identify this provider.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Lehigh Acres, Florida.
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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