Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1811951213

Unknown Individual is a healthcare provider. based in Atlanta, Georgia. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. D59210 (MD). The NPI Number for Unknown Individual is 1811951213

Main info

Organization
Inactive
36 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1811951213
Phone
(866) 761-5658
Address
PO BOX 198441
Deactivation Date
2 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8888602778
Graduation Year
1990 (36 years ago)
PAC ID
4486749199
Group Practice PAC ID
2264337021
Professional Enrollment ID
I20070926000722

Contacts

Secure Messaging
soner.altiok@direct.moffitt.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:0State licenses:2Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • PO BOX 198441

    ATLANTA, GA 303848441

    Phone: (866) 761-5658

    Type: Mailing

  • H. Lee Moffitt Cancer Center, 12902, USF Magnolia Drive, Tampa, Hillsborough County, Florida, 33612, United States

    TAMPA, FL 336129416

    Phone: (813) 745-4673

    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 30384)

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Provider's Procedures

Unknown Individual performs procedures in Anatomic Pathology & Clinical Pathology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYFL88342Tissue or cell analysis by immunologic technique3535

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: 2264337021View full group profile

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1811951213.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Anatomic Pathology & Clinical Pathology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Atlanta, Georgia. Check all listed addresses for suites or satellite offices.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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