Unknown Individual – Emergency Medicine Physician, NPI 1114082708

Unknown Individual is a healthcare provider. based in El paso, Texas. specializing in Emergency Medicine Physician. They hold a License No. M5085 (TX). The NPI Number for Unknown Individual is 1114082708

Main info

Organization
Inactive
22 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1114082708
Phone
(915) 521-1200
Address
1801 N OREGON ST
Deactivation Date
16 June 2021

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
9155778221
Graduation Year
2004 (22 years ago)
PAC ID
4082713359
Group Practice PAC ID
1355605924
Professional Enrollment ID
I20070627000406
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

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Provider Addresses for Unknown Individual

  • Las Palmas Medical Center, 1801, North Oregon Street, El Paso, El Paso County, Texas, 79902, United States

    EL PASO, TX 799023524

    Phone: (915) 521-1200

    Type: Location

  • 8552, Euphrates Drive, El Paso, El Paso County, Texas, 79907, United States

    EL PASO, TX 799072769

    Phone: (915) 633-1288

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $67.

Total Amount is formed as General ($67) + Research ($0) + Ownership ($0) = $67.

Last reported payment date: 2024-03-12 • Largest payer in this snapshot: Gilead Sciences, Inc. ($67).

Total Amount

$67

General + Research + Ownership

Payments

1

Total payment records

General Amount

$67

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Gilead Sciences, Inc.$67
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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79902)

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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: 1355605924View full group profile
NameSpecialtyState
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineWA
Emergency MedicineAA
-TX
-NJ
Emergency MedicineTX
Internal Medicine, Pediatric MedicineTX
-TX
Internal Medicine, Pulmonary Disease, Emergency Medicine, Internal MedicineTX

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1114082708?
NPI 1114082708 belongs to Unknown Individual; compare other details if you need extra assurance.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on El Paso, Texas.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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