Unknown Individual – Physician Assistant, NPI 1306067772

Unknown Individual is a healthcare provider. based in North miami beach, Florida. specializing in Physician Assistant. They hold a License No. PA9103465 (FL). The NPI Number for Unknown Individual is 1306067772

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1306067772
Phone
(305) 335-1385
Address
3615 NE 167TH ST APT 405
Deactivation Date
25 October 2023
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

  • 3615 NE 167TH ST APT 405

    NORTH MIAMI BEACH, FL 331603568

    Phone: (305) 335-1385

    Type: Mailing

  • 1190 NW 95TH ST

    107

    MIAMI, FL 331502063

    Phone: (305) 835-2797

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $421.

Total Amount is formed as General ($421) + Research ($0) + Ownership ($0) = $421.

Last reported payment date: 2024-04-26 • Largest payer in this snapshot: Alnylam Pharmaceuticals Inc. ($125).

Total Amount

$421

General + Research + Ownership

Payments

7

Total payment records

General Amount

$421

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-26

Latest reported date

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 33160)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1306067772 as the unique 10-digit identifier.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use North Miami Beach, Florida as the reference point for Unknown Individual, then confirm.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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