Unknown Individual – Undersea and Hyperbaric Medicine (Preventive Medicine) Physician, NPI 1265430474

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician

Unknown Individual is a healthcare provider. based in San antonio, Texas. specializing in Undersea and Hyperbaric Medicine (Preventive Medicine) Physician. They hold a License No. E6450 (TX). The NPI Number for Unknown Individual is 1265430474

Main info

Organization

Inactive

50 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1265430474

Phone

(210) 575-4334

Address

4499 MEDICAL DRIVE

Deactivation Date

28 February 2024

Doctor Profile

Medical School Name

UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO

Secondary Phone

9792668977

Graduation Year

1976 (50 years ago)

PAC ID

1254376452

Group Practice PAC ID

2567531494

Professional Enrollment ID

I20050630000702

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

Provider Addresses for Unknown Individual

4499 MEDICAL DRIVE
SUB LEVEL 2
SAN ANTONIO, TX 78229
Phone: (210) 575-4334
Type: Location
3519 Paesanos Pkwy
Suite 105
San Antonio, TX 782311264
Phone: (210) 564-8113
Fax: (210) 564-8939
Type: Location
San Antonio, Barrio Argentino, Merlo, Partido de Merlo, Buenos Aires, B1722, Argentina
SAN ANTONIO, TX 782961716
Phone: (210) 558-6288
Fax: (210) 558-6289
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 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: 2567531494View full group profile

Name	Specialty	State
DR. JOEL I. DAVIDSON (MD)	-	NV
DR. SUSAN WOZNIAK (MD, MBA)	-	MD
DR. JOHN P GRIFFIN (M.D.)	General Surgery	ME
DR. ANNE LUHAN (M.D., F.A.C.S.)	General Surgery	CA
COLLIN A MBANUGO (M.D.)	General Surgery	CA
MRS. CATHERINE ELEANOR DAWSON-DOW (APRN)	-	NH
CLARA DORNISHA GREEN (APRN)	Nurse Practitioner	NV
SAMUEL B. FIELD (MD)	General Surgery	LA
MR. STEPHEN LEE SAYLOR (PA-C)	-	ME
NAYANA PAREKH (MD)	Internal Medicine, General Surgery	NJ

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?

Use NPI 1265430474 when you need to reference Unknown Individual in forms, claims, or directories.

What is the next step if Unknown Individual is inactive?

Treat inactive as a signal to verify Unknown Individual through official channels.

Does Unknown Individual list a primary specialty?

If you are matching referrals, note Undersea and Hyperbaric Medicine (Preventive Medicine) Physician for Unknown Individual. 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.

Does Medicare enrollment show here?

Medicare enrollment screens are separate from the basic NPI extract shown here.