Unknown Individual – Surgery Physician, NPI 1942319181

Unknown Individual is a healthcare provider. based in Pompano beach, Florida. specializing in Surgery Physician. They hold a License No. ME41820 (FL). The NPI Number for Unknown Individual is 1942319181

Main info

Organization
Inactive
50 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1942319181
Phone
(954) 257-6644
Address
2549 SE 12TH ST
Deactivation Date
21 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9545784000
Graduation Year
1976 (50 years ago)
PAC ID
9830120138
Group Practice PAC ID
0244261683
Professional Enrollment ID
I20050826000138
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

  • 2549, Southeast 12th Street, Pompano Isles, Pompano Beach, Broward County, Florida, 33062, United States

    POMPANO BEACH, FL 330627041

    Phone: (954) 257-6644

    Type: Mailing

  • Hiatus Road, Tamarac, Broward County, Florida, 33351, United States

    SUNRISE, FL 333517987

    Phone: (954) 578-4000

    Fax: (954) 578-4948

    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 33062)

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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: 0244261683View full group profile
NameSpecialtyState
-FL
Nurse PractitionerFL
Internal MedicineFL
Nurse PractitionerGA
-FL
Nurse PractitionerFL
Nurse PractitionerFL
Interventional Pain ManagementFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1942319181 as the unique 10-digit identifier.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Surgery Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Pompano Beach?
Unknown Individual currently maps to Pompano Beach, Florida in this extract.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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