Unknown Individual – Internal Medicine Physician, NPI 1053371963

Unknown Individual is a healthcare provider. based in Dallas, Texas. specializing in Internal Medicine Physician. They hold a License No. L2186 (TX). The NPI Number for Unknown Individual is 1053371963

Main info

Organization
Inactive
28 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1053371963
Phone
(214) 947-2385
Address
1441 N BECKLEY AVE
Deactivation Date
24 January 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
2149472380
Graduation Year
1998 (28 years ago)
PAC ID
0446208946
Group Practice PAC ID
2163407859
Professional Enrollment ID
I20050111001047
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

  • 1441 N BECKLEY AVE

    DALLAS, TX 752031201

    Phone: (214) 947-2385

    Fax: (214) 947-2385

    Type: Location

  • Methodist Dallas Medical Center, 1441, North Beckley Avenue, Dallas, TX, Dallas, Dallas County, Texas, 75203, United States

    DALLAS, TX 752031201

    Phone: (214) 947-2385

    Fax: (214) 947-2385

    Type: Mailing

  • Lyndon B Johnson Freeway, Inwood, Dallas, Dallas County, Texas, 75244, United States

    SUITE 208

    DALLAS, TX 752433455

    Phone: (972) 644-8577

    Fax: (972) 644-8056

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $63.

Total Amount is formed as General ($63) + Research ($0) + Ownership ($0) = $63.

Last reported payment date: 2023-10-26 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($40).

Total Amount

$63

General + Research + Ownership

Payments

2

Total payment records

General Amount

$63

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-26

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes198190$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5353$0
View full utilization report →

Insurance plans in this area (ZIP 75203)

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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: 2163407859View full group profile

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1053371963 for Unknown Individual.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
How should patients interpret Unknown Individual's specialty?
The extract shows Internal Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Dallas, Texas in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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