Unknown Individual – Gastroenterology Physician, NPI 1720033152

Unknown Individual is a healthcare provider. based in Palm beach gardens, Florida. specializing in Gastroenterology Physician. They hold a License No. OS3793 (FL). The NPI Number for Unknown Individual is 1720033152

Main info

Organization
Inactive
57 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1720033152
Phone
(561) 622-4646
Address
11000 PROSPERITY FARMS RD
Deactivation Date
26 February 2021

Doctor Profile

Medical School Name
CHICAGO COLLEGE OF OSTEOPATHY
Secondary Phone
-
Graduation Year
1969 (57 years ago)
PAC ID
1850360553
Professional Enrollment ID
I20060508000152
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

  • Hamilton Aesthetics of the Palm Beaches, 11000, Prosperity Farms Road, North Palm Beach, Palm Beach County, Florida, 33410, United States

    206

    PALM BEACH GARDENS, FL 334103462

    Phone: (561) 622-4646

    Fax: (561) 775-8625

    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 33410)

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Provider's Procedures

Unknown Individual performs procedures in Gastroenterology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEFL82270Stool analysis for blood to screen for colon tumors3131

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1720033152.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Palm Beach Gardens, Florida?
If you are local to Palm Beach Gardens, Florida, Unknown Individual may be relevant to your search.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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