Unknown Individual – Foot & Ankle Surgery Podiatrist, NPI 1154730646

Unknown Individual is a healthcare provider. based in Pinellas park, Florida. specializing in Foot & Ankle Surgery Podiatrist. They hold a License No. PO-2450 (FL). The NPI Number for Unknown Individual is 1154730646

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1154730646
Phone
(727) 541-6109
Address
5041 82ND AVENUE NORTH #106
Deactivation Date
30 June 2021
Data current as of
20 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

  • 5041 82ND AVENUE NORTH #106

    PINELLAS PARK, FL 337811533

    Phone: (727) 541-6109

    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.

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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.

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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 33781)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1154730646 for Unknown Individual.
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.
How should patients interpret Unknown Individual's specialty?
The extract shows Foot & Ankle Surgery Podiatrist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Pinellas Park, Florida. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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