Unknown Individual – Internal Medicine Physician, NPI 1083697197

Unknown Individual is a healthcare provider. based in Dumas, Texas. specializing in Internal Medicine Physician. They hold a License No. L7281 (TX). The NPI Number for Unknown Individual is 1083697197

Main info

Organization
Inactive
23 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1083697197
Phone
(806) 935-4686
Address
224 S BLISS AVE
Deactivation Date
18 November 2022

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
2365433729
Professional Enrollment ID
I20040524000502
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

  • 224, South Bliss Avenue, Dumas, Moore County, Texas, 79029, United States

    DUMAS, TX 790293806

    Phone: (806) 935-4686

    Fax: (806) 935-4725

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 79029)

Loading plans...

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 MEDICINETX20610Aspiration and/or injection of large joint or joint capsule10164
INTERNAL MEDICINETX81002Urinalysis, manual test1511

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

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1083697197.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Dumas?
Unknown Individual currently maps to Dumas, Texas in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

Similar Providers

MEMORIAL HOSPITAL

Critical Access Hospital
224 S Bliss Ave
NPI: 1700991700

DR. EDILBERTO R MIGUEL (MD)

Internal Medicine Physician
PO BOX 558
NPI: 1154498855

OPARA PA

Internal Medicine Physician
224, South Bliss Avenue, Dumas, Moore County, Texas, 79029, United States
NPI: 1861685000

JOSEF ALDRIN CRUZ APOLINARIO (MD)

Student in an Organized Health Care Education/Training Program
224 E 2ND ST
NPI: 1932603933

RALPH ANDREI APOLINARIO (MD)

Internal Medicine Physician
224 E 2ND ST
NPI: 1851896740

MRS. PRIYANKA SANJEEV PATEL (MD)

Student in an Organized Health Care Education/Training Program
1405 E 1ST ST STE 101
NPI: 1467081364

SAMUEL ADDO (MD)

Internal Medicine Physician
224 S Bliss Ave
NPI: 1588314348