Unknown Individual – Pain Medicine Physician, NPI 1831123686

Unknown Individual is a healthcare provider. based in St petersburg, Florida. specializing in Pain Medicine Physician. They hold a License No. ME52154 (FL). The NPI Number for Unknown Individual is 1831123686

Main info

Organization
Inactive
40 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1831123686
Phone
(727) 553-7713
Address
603 7TH ST S STE 320
Deactivation Date
27 November 2025

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
7275537313
Graduation Year
1986 (40 years ago)
PAC ID
1355302118
Group Practice PAC ID
9638130495
Professional Enrollment ID
I20100614000647
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

Provider Addresses for Unknown Individual

  • 603 7TH ST S STE 320

    ST PETERSBURG, FL 33701

    Phone: (727) 553-7713

    Fax: (727) 317-5601

    Type: Location

  • PO BOX 919017

    ORLANDO, FL 328919017

    Phone: (727) 553-7313

    Fax: (727) 553-7320

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $337.

Total Amount is formed as General ($337) + Research ($0) + Ownership ($0) = $337.

Last reported payment date: 2024-07-15 • Largest payer in this snapshot: Boston Scientific Corporation ($269).

Total Amount

$337

General + Research + Ownership

Payments

20

Total payment records

General Amount

$337

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-15

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
99213Established patient office or other outpatient visit, 20-29 minutes456130$0
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level6339$0
27096Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance5835$0
76942Ultrasonic guidance for needle placement5724$0
99204New patient office or other outpatient visit, 45-59 minutes5151$0
View full utilization report →

Insurance plans in this area (ZIP 33701)

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Provider's Procedures

Unknown Individual performs procedures in Pain Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL PAIN MANAGEMENTFL64493Injections of lower or sacral spine facet joint using imaging guidance7655

Reviews

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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 1831123686.
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 services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with St Petersburg, Florida. Check all listed addresses for suites or satellite offices.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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