Unknown Individual – Rheumatology Physician, NPI 1134271448

Rheumatology Physician

Unknown Individual is a healthcare provider. based in Irving, Texas. specializing in Rheumatology Physician. They hold a License No. MD.014388 (LA). The NPI Number for Unknown Individual is 1134271448

Main info

Organization

Inactive

54 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1134271448

Phone

(469) 282-2711

Address

919 HIDDEN RDG

Deactivation Date

24 January 2022

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9855373211

Graduation Year

1972 (54 years ago)

PAC ID

2365530623

Group Practice PAC ID

8224933619

Professional Enrollment ID

I20071120000334

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

919, Hidden Ridge, Irving, Dallas County, Texas, 75038, United States
IRVING, TX 750383813
Phone: (469) 282-2711
Fax: (469) 282-2609
Type: Mailing
Debakey Dr / Ryan St, Doctor Michael Debakey Drive, Lake Charles, Calcasieu Parish, Louisiana, 70601, United States
STE 100
LAKE CHARLES, LA 706015864
Phone: (337) 436-6100
Fax: (337) 436-6190
Type: Location

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 75038)

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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: 8224933619View full group profile

Name	Specialty	State
KIMBERLY NOELLE MATTHEWS (FNP)	-	LA
HA NINH (O.D.)	O P T O M E T R Y	LA
MUHAMMAD ARSLAN ASGH CHEEMA (M.D.)	Cardiovascular Disease (Cardiology), Internal Medicine	PA
DR. GREGORY ROBBERT VORHOFF (MD)	-	LA
SOCRATES ZAPATA-CAMPUSANO (M.D.)	N E U R O L O G Y	LA
KATHLEEN SINGH (FNP-C)	Nurse Practitioner	LA
DR. BRIAN OLIVIER (MD)	Family Practice	CO
MRS. VERA ANITA CHARLENE WILLIAMS (NP)	Nurse Practitioner	LA
WALTER ROSS CAZAYOUX (M.D.)	U R O L O G Y	LA
MARIA CARMEN WILSON (MD)	N E U R O L O G Y	LA