Unknown Individual – Hematology & Oncology Physician, NPI 1861456089

Unknown Individual is a healthcare provider. based in Rockledge, Florida. specializing in Hematology & Oncology Physician. They hold a License No. ME0054026 (FL). The NPI Number for Unknown Individual is 1861456089

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1861456089
Phone
(321) 253-4673
Address
3300 S FISKE BLVD
Deactivation Date
3 February 2022

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
3212684000
Graduation Year
1987 (39 years ago)
PAC ID
1850456427
Group Practice PAC ID
7416100672
Professional Enrollment ID
I20110523000632
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

  • Health First Business Center (Bldg A), 3300, South Fiske Boulevard, Rockledge, Brevard County, Florida, 32955, United States

    ROCKLEDGE, FL 329554306

    Phone: (321) 253-4673

    Type: Mailing

  • North Wickham Road, Melbourne, Brevard County, Florida, 32934, United States

    MELBOURNE, FL 329402240

    Phone: (321) 253-4673

    Fax: (321) 253-4338

    Type: Location

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 32955)

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Provider's Procedures

Unknown Individual performs procedures in Hematology & Oncology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
HEMATOLOGY/ONCOLOGYFL96375Injection of different drug or substance into a vein for therapy, diagnosis, or prevention5121

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: 7416100672View full group profile
NameSpecialtyState
-FL
-FL
-FL
Physical Medicine And RehabilitationFL
Family PracticeFL
G A S T R O E N T E R O L O G YFL
-FL
Nurse PractitionerFL
Internal MedicineLA
Physician AssistantFL

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1861456089 uniquely identifies Unknown Individual in U.S. healthcare data.
What does inactive NPI status mean 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 Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Rockledge, Florida?
If you are local to Rockledge, Florida, Unknown Individual may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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