Unknown Individual – Internal Medicine Physician, NPI 1063641991

Internal Medicine Physician

Unknown Individual is a healthcare provider. based in Houston, Texas. specializing in Internal Medicine Physician. They hold a License No. P3487 (TX). The NPI Number for Unknown Individual is 1063641991

Main info

Organization

Inactive

17 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1063641991

Phone

(713) 798-0114

Address

3701 KIRBY DR

Deactivation Date

20 August 2021

Doctor Profile

Medical School Name

BAYLOR COLLEGE OF MEDICINE

Secondary Phone

7138732000

Graduation Year

2009 (17 years ago)

PAC ID

8325280316

Group Practice PAC ID

8224941265

Professional Enrollment ID

I20130802000831

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience19

Completeness75

Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

3701, Kirby Drive, Houston, Harris County, Texas, 77098, United States
SUITE 600
HOUSTON, TX 770983900
Phone: (713) 798-0114
Mailing address matches the actual address.

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 77098)

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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: 8224941265View full group profile

Name	Specialty	State
ZAVEN SARGSYAN (MD)	Internal Medicine	TX
JORDAN DANIEL SPARKMAN (M.D.)	Gastroenterology, Internal Medicine	TX
DR. MIYSHA SHAW GIRARDEAU (MD, MS)	Internal Medicine, Hospitalist	IN
DR. HOLLAND MANON KAPLAN (MD)	Hospitalist, Internal Medicine	TX
DR. DESENCIA E A THOMAS (MD)	Diagnostic Radiology	VA
DR. ZITA MARIE WITTE (M.D.)	-	TX
DIANA ATWAL (MD)	Family Practice	TX
DR. JAIME JAVIER RUEDA	Internal Medicine, Pediatric Medicine	TX
CARLA BEJJANI (MD)	Psychiatry, Geriatric Psychiatry	TX
HAL ZHANG (MD)	-	TX

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?

Use NPI 1063641991 when you need to reference Unknown Individual in forms, claims, or directories.

Should I trust care from Unknown Individual if status is inactive?

An inactive NPI does not by itself prove someone stopped practicing — check other sources.

What does Unknown Individual treat or focus on?

Patients typically see Unknown Individual under the specialty Internal Medicine Physician. Clinical services aligned with this taxonomy classification.

Does Unknown Individual practice in Texas?

You will see Houston, Texas on file for Unknown Individual alongside any extra practice locations.

Does Medicare enrollment show here?

Medicare enrollment screens are separate from the basic NPI extract shown here.