Unknown Individual – Foot & Ankle Surgery Podiatrist, NPI 1871586297

Unknown Individual is a healthcare provider. based in Deland, Florida. specializing in Foot & Ankle Surgery Podiatrist. They hold a License No. PO-3101 (FL). The NPI Number for Unknown Individual is 1871586297

Main info

Organization
Inactive
25 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1871586297
Phone
(386) 943-3175
Address
1070 N STONE ST
Deactivation Date
30 August 2021

Doctor Profile

Medical School Name
BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
3869433160
Graduation Year
2001 (25 years ago)
PAC ID
7517941834
Group Practice PAC ID
5991763724
Professional Enrollment ID
I20040615000970
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1070, North Stone Street, DeLand, Volusia County, Florida, 32720, United States

    SUITE E

    DELAND, FL 327200919

    Phone: (386) 943-3175

    Fax: (386) 943-3177

    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 32720)

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Provider's Procedures

Unknown Individual performs procedures in Foot & Ankle Surgery Podiatrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYFL11042Removal of skin and tissue first 20 sq cm or less9740
PODIATRYFL73630X-ray of foot, minimum of 3 views159121
PODIATRYFL76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle3028

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: 5991763724View full group profile

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1871586297?
NPI 1871586297 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Foot & Ankle Surgery Podiatrist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Deland, Florida as the reference point for Unknown Individual, then confirm.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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