Unknown Individual – General Practice Physician, NPI 1205944931

Unknown Individual is a healthcare provider. based in Bonita springs, Florida. specializing in General Practice Physician. They hold a License No. 216493 (NY). The NPI Number for Unknown Individual is 1205944931

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1205944931
Phone
(518) 449-7888
Address
28271 JENEVA WAY
Deactivation Date
6 March 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 28271 JENEVA WAY

    BONITA SPRINGS, FL 341358514

    Phone: (518) 449-7888

    Type: Mailing

  • 4011 26TH ST W

    BRADENTON, FL 342053511

    Phone: (305) 647-0920

    Type: Location

  • 1, Pinnacle Place, McKownville, Town of Guilderland, Albany County, New York, 12203, United States

    STE: 203

    ALBANY, NY 122033496

    Phone: (518) 268-5554

    Fax: (518) 268-5396

    Type: Mailing

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 34135)

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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 1205944931.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as General Practice Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Bonita Springs, Florida in the data we show; additional addresses may exist on the full record.
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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