Unknown Individual – Internal Medicine Physician, NPI 1225039159

Unknown Individual is a healthcare provider. based in San antonio, Texas. specializing in Internal Medicine Physician. They hold a License No. G6516 (TX). The NPI Number for Unknown Individual is 1225039159

Main info

Organization
Inactive
46 Years Of Experience
Name
Unknown Individual
NPI
1225039159
Phone
(210) 614-4000
Address
4410 MEDICAL DR STE 100
Deactivation Date
29 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2106144000
Graduation Year
1980 (46 years ago)
PAC ID
4981731890
Group Practice PAC ID
2769487701
Professional Enrollment ID
I20100426000353
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

  • Abington – Lansdale Hospital, 100, Medical Campus Drive, Lansdale, Montgomery County, Pennsylvania, 19446, United States

    #100

    SAN ANTONIO, TX 782293737

    Phone: (210) 614-4000

    Fax: (210) 614-9114

    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)

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 78229)

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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: 2769487701View full group profile
NameSpecialtyState
Internal MedicineTX
Internal MedicineTX
Internal MedicineTX
Internal MedicineTX
Internal MedicineTX
Internal MedicineTX
Internal MedicineTX

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1225039159.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface San Antonio, Texas for Unknown Individual based on available NPPES addresses.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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