Unknown Individual – Nephrology Physician, NPI 1902808389

Unknown Individual is a healthcare provider. based in Miami, Florida. specializing in Nephrology Physician. They hold a License No. ME0076121 (FL). The NPI Number for Unknown Individual is 1902808389

Main info

Organization
Inactive
36 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1902808389
Phone
(305) 273-9377
Address
9193 SUNSET DR
Deactivation Date
19 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3052739377
Graduation Year
1990 (36 years ago)
PAC ID
5890824171
Group Practice PAC ID
9931000510
Professional Enrollment ID
I20100525000517
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

  • Sunset Drive, Louisburg, Miami County, Kansas, 66053, United States

    SUITE 200

    MIAMI, FL 331733487

    Phone: (305) 273-9377

    Fax: (305) 273-9388

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-10-27 • Largest payer in this snapshot: Astellas Pharma US Inc ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Astellas Pharma US Inc$19
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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33173)

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Provider's Procedures

Unknown Individual performs procedures in Nephrology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYFL90935Hemodialysis procedure with one physician evaluation184100
NEPHROLOGYFL90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older4930

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: 9931000510View full group profile
NameSpecialtyState
N E P H R O L O G YFL
Nurse PractitionerFL
Nurse PractitionerFL
-FL
N E P H R O L O G YFL
Nephrology, Internal MedicineFL
N E P H R O L O G YFL
Nephrology, Internal MedicineFL
N E P H R O L O G YFL
N E P H R O L O G YFL

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1902808389; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Miami, Florida for Unknown Individual; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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