Unknown Individual – Internal Medicine Physician, NPI 1053349506

Unknown Individual is a healthcare provider. based in Lighthouse point, Florida. specializing in Internal Medicine Physician. They hold a License No. ME29982 (FL). The NPI Number for Unknown Individual is 1053349506

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1053349506
Phone
(954) 942-7897
Address
2211 NE 36TH ST. SUITE 101
Deactivation Date
4 September 2025
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

Provider Addresses for Unknown Individual

  • 2211 NE 36TH ST. SUITE 101

    LIGHTHOUSE POINT, FL 33064

    Phone: (954) 942-7897

    Fax: (954) 942-7898

    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 $168.

Total Amount is formed as General ($168) + Research ($0) + Ownership ($0) = $168.

Last reported payment date: 2023-02-08 • Largest payer in this snapshot: Abbott Laboratories ($168).

Total Amount

$168

General + Research + Ownership

Payments

1

Total payment records

General Amount

$168

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$168
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 33064)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1053349506; it appears in the national provider directory.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Internal Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Florida?
You will see Lighthouse Point, Florida on file for Unknown Individual alongside any extra practice locations.
What if Lighthouse Point, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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ASSOCIATES IN INTERNAL MEDICINE

Internal Medicine Physician
2201, Northeast 52nd Street, Lighthouse Point, Broward County, Florida, 33064, United States
NPI: 1295842144