Unknown Individual – Medical Physician Assistant, NPI 1144337585

Unknown Individual is a healthcare provider. based in League city, Texas. specializing in Medical Physician Assistant. They hold a License No. PA01746 (TX). The NPI Number for Unknown Individual is 1144337585

Main info

Organization
Inactive
30 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1144337585
Phone
(281) 333-5503
Address
1108 GULF FWY S
Deactivation Date
6 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2815852530
Graduation Year
1996 (30 years ago)
PAC ID
3577554542
Group Practice PAC ID
3375456734
Professional Enrollment ID
I20040519000667
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

  • Gulf Freeway, Northpointe, League City, Galveston County, Texas, 77539-9332, United States

    SUITE # 230

    LEAGUE CITY, TX 775735100

    Phone: (281) 333-5503

    Type: Location

  • 2116, 44th Street, Galveston, Galveston County, Texas, 77550, United States

    GALVESTON, TX 775507309

    Phone: (409) 762-6841

    Type: Mailing

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 77573)

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Provider's Procedures

Unknown Individual performs procedures in Medical Physician Assistant. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTTX93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1211

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: 3375456734View full group profile
NameSpecialtyState
-TX
-TX
-NY
Sleep Medicine, Critical Care (Intensivists)TX
Surgical OncologyNY
General SurgeryTN
General SurgeryGA
U R O L O G YNY
Nurse PractitionerTX
O B S T E T R I C S/ G Y N E C O L O G YTX

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1144337585 for Unknown Individual, then check state licensing separately.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is League City, Texas in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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