Unknown Individual – Hematology & Oncology Physician, NPI 1134121668

Unknown Individual is a healthcare provider. based in Arlington, Texas. specializing in Hematology & Oncology Physician. They hold a License No. 036142247 (IL). The NPI Number for Unknown Individual is 1134121668

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1134121668
Phone
(817) 261-4906
Address
906 W RANDOL MILL RD
Deactivation Date
20 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4092125922
Graduation Year
1987 (39 years ago)
PAC ID
4486636834
Group Practice PAC ID
0547333890
Professional Enrollment ID
I20040601001160
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 906, West Randol Mill Road, Arlington, Tarrant County, Texas, 76012, United States

    ARLINGTON CANCER CENTER

    ARLINGTON, TX 760122510

    Phone: (817) 261-4906

    Fax: (817) 543-4675

    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)

CMS reports 132 Open Payments records for all available years, with a total value of $2,908.

Total Amount is formed as General ($2,908) + Research ($0) + Ownership ($0) = $2,908.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: PFIZER INC. ($290).

Total Amount

$2,908

General + Research + Ownership

Payments

132

Total payment records

General Amount

$2,908

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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
99214Established patient office or other outpatient visit, 30-39 minutes966264$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes324102$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes10894$0
99204New patient office or other outpatient visit, 45-59 minutes5858$0
99215Established patient office or other outpatient visit, 40-54 minutes1614$0
View full utilization report →

Insurance plans in this area (ZIP 76012)

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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: 0547333890View full group profile
NameSpecialtyState
Nurse PractitionerTX
Family PracticeTX
Nurse PractitionerTX
General SurgeryGA
Diagnostic RadiologyNE
Internal MedicineTX
A N E S T H E S I O L O G YTX
Cardiovascular Disease (Cardiology)TX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1134121668 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Arlington, Texas in the same public data insurers reference.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.