Unknown Individual – Internal Medicine Physician, NPI 1922095801

Unknown Individual is a healthcare provider. based in Clearwater, Florida. specializing in Internal Medicine Physician. They hold a License No. ME0076639 (FL). The NPI Number for Unknown Individual is 1922095801

Main info

Organization
Inactive
64 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1922095801
Phone
(727) 442-3001
Address
1840 N HIGHLAND AVE
Deactivation Date
19 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7274423001
Graduation Year
1962 (64 years ago)
PAC ID
6103013115
Group Practice PAC ID
2264413152
Professional Enrollment ID
I20101202001217
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

  • 1840, North Highland Avenue, Clearwater, Pinellas County, Florida, 33755, United States

    CLEARWATER, FL 337552138

    Phone: (727) 442-3001

    Fax: (727) 467-9106

    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 12 Open Payments records for all available years, with a total value of $242.

Total Amount is formed as General ($242) + Research ($0) + Ownership ($0) = $242.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Abbott Laboratories ($242).

Total Amount

$242

General + Research + Ownership

Payments

12

Total payment records

General Amount

$242

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$242
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 33755)

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Provider's Procedures

Unknown Individual performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEFL83036Hemoglobin A1C level14680

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: 2264413152View full group profile
NameSpecialtyState
Internal MedicineFL
Internal MedicineFL
Internal MedicineFL
Nurse PractitionerFL
Physical Medicine And RehabilitationFL
Internal MedicineFL

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1922095801.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Clearwater, Florida may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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