Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1013977446

Unknown Individual is a healthcare provider. based in Las vegas, Nevada. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. 13408 (NV). The NPI Number for Unknown Individual is 1013977446

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1013977446
Phone
(702) 732-3441
Address
7455 W WASHINGTON AVE
Deactivation Date
6 February 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
9287632273
Graduation Year
1978 (48 years ago)
PAC ID
0547223067
Group Practice PAC ID
4183617533
Professional Enrollment ID
I20090825000568
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • West Washington Avenue, Cultural Corridor, Las Vegas, Clark County, Nevada, 89101, United States

    STE 301

    LAS VEGAS, NV 891284340

    Phone: (702) 732-3441

    Fax: (702) 732-2310

    Type: Mailing

  • 3059, South Maryland Parkway, Filipino Town, Las Vegas, Clark County, Nevada, 89109, United States

    100

    LAS VEGAS, NV 891092294

    Phone: (702) 732-3441

    Fax: (702) 732-2310

    Type: Location

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 $111.

Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Boston Scientific Corporation ($111).

Total Amount

$111

General + Research + Ownership

Payments

1

Total payment records

General Amount

$111

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

Latest reported date

Top Companies

Largest payers in this snapshot

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity1,661996$0
88341Special stained specimen slides to examine tissue, each additional procedure537102$0
88304Pathology examination of tissue using a microscope, moderately low complexity168159$0
88108Cell examination of specimen, concentration technique165118$0
88307Pathology examination of tissue using a microscope, moderately high complexity160121$0
View full utilization report →

Insurance plans in this area (ZIP 89128)

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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
PATHOLOGYNV88307Pathology examination of tissue using a microscope, moderately high complexity279206

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: 4183617533View full group profile
NameSpecialtyState
P A T H O L O G YCT
P A T H O L O G YNV
P A T H O L O G YTX
-FL
P A T H O L O G YNV
P A T H O L O G YIN
P A T H O L O G YOH
P A T H O L O G YCA
P A T H O L O G YMO
P A T H O L O G YMI

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1013977446 if you need a stable reference for Unknown Individual.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Las Vegas, Nevada for Unknown Individual; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.