Unknown Individual – Internal Medicine Physician, NPI 1083650386

Unknown Individual is a healthcare provider. based in Dallas, Texas. specializing in Internal Medicine Physician. They hold a License No. F6926 (TX). The NPI Number for Unknown Individual is 1083650386

Main info

Organization
Inactive
46 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1083650386
Phone
(972) 997-8000
Address
PO BOX 911230
Deactivation Date
9 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
4099388600
Graduation Year
1980 (46 years ago)
PAC ID
2668480856
Group Practice PAC ID
5395658934
Professional Enrollment ID
I20060329000741
Data current as of
19 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

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 753911230

    Phone: (972) 997-8000

    Fax: (972) 437-9605

    Type: Mailing

  • Medical Center Boulevard, Webster, Harris County, Texas, 77598, United States

    WEBSTER, TX 775984219

    Phone: (281) 332-7505

    Fax: (281) 332-7616

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $208.

Total Amount is formed as General ($208) + Research ($0) + Ownership ($0) = $208.

Last reported payment date: 2023-05-15 • Largest payer in this snapshot: PharmaEssentia USA Corporation ($53).

Total Amount

$208

General + Research + Ownership

Payments

9

Total payment records

General Amount

$208

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-15

Latest reported date

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
Q0138Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)9,18012$0
J1100Injection, dexamethasone sodium phosphate, 1 mg21511$0
36415Insertion of needle into vein for collection of blood sample11353$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count11255$0
99213Established patient office or other outpatient visit, 20-29 minutes11283$0
View full utilization report →

Insurance plans in this area (ZIP 75391)

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Provider's Procedures

Unknown Individual performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINETX74177CT scan of abdomen and pelvis with contrast2220
INTERNAL MEDICINETX85610Blood test, clotting time12512

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: 5395658934View full group profile
NameSpecialtyState
Surgical OncologyTX
Certified Clinical Nurse Specialist (Cns)TX
Nurse PractitionerTX
Medical Oncology, Internal MedicineTX
Internal Medicine, Medical OncologyTX
Surgical Oncology, General SurgeryTX
Radiation OncologyTX
-TX
-TX
Gynecological Oncology, Obstetrics/GynecologyTX

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1083650386.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Dallas, Texas as a primary anchor for Unknown Individual unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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