Unknown Individual – Family Medicine Physician, NPI 1205804911

Unknown Individual is a healthcare provider. based in Raymondville, Texas. specializing in Family Medicine Physician. They hold a License No. H6573 (TX). The NPI Number for Unknown Individual is 1205804911

Main info

Organization
Inactive
38 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1205804911
Phone
(956) 689-2493
Address
525 S 10TH ST
Deactivation Date
5 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1988 (38 years ago)
PAC ID
0840109054
Professional Enrollment ID
I20041022000190
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

  • 525, South 10th Street, Raymondville, Willacy County, Texas, 78580, United States

    RAYMONDVILLE, TX 785802508

    Phone: (956) 689-2493

    Fax: (956) 689-5090

    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 23 Open Payments records for all available years, with a total value of $415.

Total Amount is formed as General ($415) + Research ($0) + Ownership ($0) = $415.

Last reported payment date: 2023-10-18 • Largest payer in this snapshot: Lilly USA, LLC ($68).

Total Amount

$415

General + Research + Ownership

Payments

23

Total payment records

General Amount

$415

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-18

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
99213Established patient office or other outpatient visit, 20-29 minutes294150$0
36415Insertion of needle into vein for collection of blood sample125111$0
81003Automated urinalysis test10593$0
82044Urine microalbumin (protein) analysis9491$0
83036Hemoglobin a1c level7068$0
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Insurance plans in this area (ZIP 78580)

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Provider's Procedures

Unknown Individual performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETX20610Aspiration and/or injection of large joint or joint capsule2216
FAMILY MEDICINETX73630X-ray of foot, minimum of 3 views1515
FAMILY MEDICINETX85610Blood test, clotting time3224

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1205804911?
NPI 1205804911 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 clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Raymondville?
Public fields place Unknown Individual around Raymondville, Texas. Always confirm the exact site before visiting.
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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