Unknown Individual – Internal Medicine Physician, NPI 1639127525

Unknown Individual is a healthcare provider. based in Coral gables, Florida. specializing in Internal Medicine Physician. They hold a License No. ME74498 (FL). The NPI Number for Unknown Individual is 1639127525

Main info

Organization
Inactive
33 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1639127525
Phone
(305) 663-0088
Address
5000 UNIVERSITY DR STE 1100
Deactivation Date
2 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7863083000
Graduation Year
1993 (33 years ago)
PAC ID
9133154883
Group Practice PAC ID
0042456907
Professional Enrollment ID
I20050930000348

Contacts

Secure Messaging
edgardo.reyesayala@phpllc.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • University Drive, Coral Gables, Miami-Dade County, Florida, 33133:33134:33135, United States

    CORAL GABLES, FL 331462008

    Phone: (305) 663-0088

    Fax: (305) 663-1933

    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 145 Open Payments records for all available years, with a total value of $3,052.

Total Amount is formed as General ($3,052) + Research ($0) + Ownership ($0) = $3,052.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Novo Nordisk Inc ($495).

Total Amount

$3,052

General + Research + Ownership

Payments

145

Total payment records

General Amount

$3,052

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

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 minutes306136$0
36415Insertion of needle into vein for collection of blood sample155102$0
99213Established patient office or other outpatient visit, 20-29 minutes11473$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month9557$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4618$0
View full utilization report →

Insurance plans in this area (ZIP 33146)

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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: 0042456907View full group profile
NameSpecialtyState
Nurse PractitionerFL
Internal MedicineFL
-FL
Internal Medicine, Pulmonary Disease, Sleep MedicineFL
Physician AssistantFL
Nurse PractitionerFL
Family PracticeFL
Family PracticeFL
Internal MedicineFL
Internal MedicineFL

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1639127525.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Coral Gables, Florida may find Unknown Individual in results; validate coverage separately.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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