Unknown Individual – Obstetrics & Gynecology Physician, NPI 1821192360

Obstetrics & Gynecology Physician

Unknown Individual is a healthcare provider. based in Loxahatchee, Florida. specializing in Obstetrics & Gynecology Physician. They hold a License No. 35854 (FL). The NPI Number for Unknown Individual is 1821192360

Main info

Organization

Inactive

55 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1821192360

Phone

(561) 795-2400

Address

12953 PALMS WEST DR

Deactivation Date

19 August 2021

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5617952400

Graduation Year

1971 (55 years ago)

PAC ID

7315035342

Group Practice PAC ID

9335213388

Professional Enrollment ID

I20071108000561

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience23

Completeness75

Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

12953 PALMS WEST DR
BLDG 6 SUITE 101
LOXAHATCHEE, FL 334704990
Phone: (561) 795-2400
Fax: (561) 795-6813
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 33470)

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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: 9335213388View full group profile

Name	Specialty	State
MRS. XIAORONG DAI (MD)	O B S T E T R I C S/ G Y N E C O L O G Y	FL
RAUL CARLOS VALDESCRUZ (MD)	-	FL
MR. STEVEN SR. PLISKOW (MD)	O B S T E T R I C S/ G Y N E C O L O G Y	FL
ARIANA SABET (DO)	O B S T E T R I C S/ G Y N E C O L O G Y	FL
DR. MATTHEW RAYMOND SHANDY (MD)	O B S T E T R I C S/ G Y N E C O L O G Y	KS
MS. ANITA VEERABHADRAPPA-MEINER (PA-C)	Physician Assistant	FL
MR. RONALD T SR. ACKERMAN (MD)	O B S T E T R I C S/ G Y N E C O L O G Y	FL

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?

Public records show Unknown Individual under NPI 1821192360.

Should I call the clinic if Unknown Individual is inactive here?

If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.

Which specialty label fits Unknown Individual?

NPPES ties Unknown Individual to Obstetrics & Gynecology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.

Which community is linked to Unknown Individual?

Unknown Individual shows a connection to Loxahatchee, Florida in registry-derived data.

Can I verify credentials using only NPI?

NPI confirms identity in the directory; licensure and board certification require separate checks.