Unknown Individual – Gastroenterology Physician, NPI 1912972969

Unknown Individual is a healthcare provider. based in Hudson, Florida. specializing in Gastroenterology Physician. They hold a License No. ME44747 (FL). The NPI Number for Unknown Individual is 1912972969

Main info

Organization
Inactive
50 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1912972969
Phone
(727) 862-9436
Address
7533 MEDICAL DR
Deactivation Date
31 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7278629436
Graduation Year
1976 (50 years ago)
PAC ID
3173693900
Group Practice PAC ID
6608917315
Professional Enrollment ID
I20100128000266
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

  • 7533, Medical Drive, Bayonet Point Medical Park, Hudson, Pasco County, Florida, 34667, United States

    HUDSON, FL 346676502

    Phone: (727) 862-9436

    Fax: (727) 862-5611

    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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99204New patient office or other outpatient visit, 45-59 minutes141141$0
99214Established patient office or other outpatient visit, 30-39 minutes9889$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope6363$0
45378Diagnostic exam of large bowel using a flexible endoscope3636$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare3535$0
View full utilization report →

Insurance plans in this area (ZIP 34667)

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Provider's Procedures

Unknown Individual performs procedures in Gastroenterology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYFL45378Diagnostic examination of large bowel using an endoscope7370
GASTROENTEROLOGYFL45385Removal of polyps or growths of large bowel using an endoscope2525

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: 6608917315View full group profile
NameSpecialtyState
-FL
G A S T R O E N T E R O L O G YFL
G A S T R O E N T E R O L O G YFL
Internal Medicine, GastroenterologyFL
P A T H O L O G YTN

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 1912972969.
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 services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Hudson, Florida?
If you are local to Hudson, Florida, Unknown Individual may be relevant to your search.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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