Unknown Individual – Internal Medicine Physician, NPI 1275569659

Unknown Individual is a healthcare provider. based in Uvalde, Texas. specializing in Internal Medicine Physician. They hold a License No. K4861 (TX). The NPI Number for Unknown Individual is 1275569659

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1275569659
Phone
(830) 278-5604
Address
908 EVANS ST
Deactivation Date
14 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8302785604
Graduation Year
1982 (44 years ago)
PAC ID
0244212835
Group Practice PAC ID
3072422740
Professional Enrollment ID
I20040607000616
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 908, Evans Street, Uvalde, Uvalde County, Texas, 78801, United States

    ATTN: CFO

    UVALDE, TX 788016051

    Phone: (830) 278-5604

    Fax: (830) 278-1836

    Type: Mailing

  • 200, Evans Street, Uvalde, Uvalde County, Texas, 78801, United States

    OUR HEALTH

    UVALDE, TX 788015142

    Phone: (830) 278-7105

    Fax: (830) 278-1836

    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 78801)

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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: 3072422740View full group profile
NameSpecialtyState
Nurse PractitionerTX
-NM
Family Practice, Obstetrics/GynecologyTX
Physician AssistantTX
Physician AssistantTX
P S Y C H I A T R YTX
-TX
P S Y C H I A T R YTX
-TX
Nurse PractitionerTX

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1275569659.
Is Unknown Individual excluded from programs when inactive?
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 Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Uvalde, Texas as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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