Unknown Individual – Gastroenterology Physician, NPI 1033187208

Unknown Individual is a healthcare provider. based in Norman, Oklahoma. specializing in Gastroenterology Physician. They hold a License No. 9875 (OK). The NPI Number for Unknown Individual is 1033187208

Main info

Organization
Inactive
55 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1033187208
Phone
(405) 360-2777
Address
1125 N PORTER AVE
Deactivation Date
24 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
4053071000
Graduation Year
1971 (55 years ago)
PAC ID
0345263604
Group Practice PAC ID
5496900706
Professional Enrollment ID
I20060113000334
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

Loading map...

Provider Addresses for Unknown Individual

  • Norman Medical Plaza, 1125, North Porter Avenue, Norman, Cleveland County, Oklahoma, 73071, United States

    NORMAN, OK 730716443

    Phone: (405) 360-2777

    Fax: (405) 360-2780

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 174 Open Payments records for all available years, with a total value of $4,094.

Total Amount is formed as General ($4,094) + Research ($0) + Ownership ($0) = $4,094.

Last reported payment date: 2024-08-26 • Largest payer in this snapshot: ABBVIE INC. ($1,414).

Total Amount

$4,094

General + Research + Ownership

Payments

174

Total payment records

General Amount

$4,094

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-26

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
99214Established patient office or other outpatient visit, 30-39 minutes309268$0
82272Stool analysis for blood, by peroxidase activity226213$0
99204New patient office or other outpatient visit, 45-59 minutes103103$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope8685$0
45380Biopsy of large bowel using a flexible endoscope8181$0
View full utilization report →

Insurance plans in this area (ZIP 73071)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Gastroenterology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYOK45378Diagnostic examination of large bowel using an endoscope4343
GASTROENTEROLOGYOK88312Special stained specimen slides to identify organisms including interpretation and report207194

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: 5496900706View full group profile
NameSpecialtyState
N E U R O L O G YOK
Cardiovascular Disease (Cardiology), Internal MedicineOK
Critical Care (Intensivists), Pulmonary DiseaseOK
Cardiovascular Disease (Cardiology), Internal MedicineOK
-OK
Critical Care (Intensivists), Pulmonary Disease, Internal MedicineOK
Certified Registered Nurse Anesthetist (Crna)OK
G A S T R O E N T E R O L O G YOK
-OK
-OK

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1033187208 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Norman, Oklahoma for Unknown Individual; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

DR. ANDREW WILLIAM BLACK (M.D.)

Gastroenterology Physician
301, North Porter Avenue, Norman, Cleveland County, Oklahoma, 73071, United States
NPI: 1851392351

MR. CHARLES LEE LACKEY (M.D.)

Gastroenterology Physician
1515, North Porter Avenue, Norman, Cleveland County, Oklahoma, 73071, United States
NPI: 1285625640

SATISH K ARORA (M.D.)

Gastroenterology Physician
1125 N Porter Ave
NPI: 1063480440

CHINTAN A PARIKH (M.D.)

Gastroenterology Physician
Norman Medical Plaza, 1125, North Porter Avenue, Norman, Cleveland County, Oklahoma, 73071, United States
NPI: 1598733982

GI OF NORMAN, LLC

Gastroenterology Physician
Norman Medical Plaza, 1125, North Porter Avenue, Norman, Cleveland County, Oklahoma, 73071, United States
NPI: 1700854106

ROBERT MICHAEL HOLBROOK (M.D.)

Gastroenterology Physician
1515, North Porter Avenue, Norman, Cleveland County, Oklahoma, 73071, United States
NPI: 1053352054

ROBERT M. HOLBROOK MD, PLLC

Gastroenterology Physician
Norman Medical Plaza, 1125, North Porter Avenue, Norman, Cleveland County, Oklahoma, 73071, United States
NPI: 1801824503

CHARLES L. LACKEY MD, PC

Gastroenterology Physician
1515, North Porter Avenue, Norman, Cleveland County, Oklahoma, 73071, United States
NPI: 1144235995