Unknown Individual – Hospitalist Physician, NPI 1003802240

Unknown Individual is a healthcare provider. based in Houston, Texas. specializing in Hospitalist Physician. They hold a License No. R9369 (TX). The NPI Number for Unknown Individual is 1003802240

Main info

Organization
Inactive
24 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1003802240
Phone
(713) 338-6353
Address
909 FROSTWOOD DR STE 1.100
Deactivation Date
5 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7132422222
Graduation Year
2002 (24 years ago)
PAC ID
7618998030
Group Practice PAC ID
7012008360
Professional Enrollment ID
I20190329001934
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 909 FROSTWOOD DR STE 1.100

    HOUSTON, TX 770242301

    Phone: (713) 338-6353

    Type: Mailing

  • Beechnut Street, Houston, Harris County, Texas, 77072, United States

    HOUSTON, TX 770744302

    Phone: (713) 456-5686

    Type: Location

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.

This can happen when there are no reportable CMS Open Payments records.

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 77024)

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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: 7012008360View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1003802240 — is the standard way to identify this listing.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's primary classification?
Hospitalist Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Houston, Texas as a primary anchor for Unknown Individual unless the record lists multiple sites.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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