Unknown Individual – Gastroenterology Physician, NPI 1285602342

Unknown Individual is a healthcare provider. based in Austin, Texas. specializing in Gastroenterology Physician. They hold a License No. E0090 (TX). The NPI Number for Unknown Individual is 1285602342

Main info

Organization
Inactive
60 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1285602342
Phone
(512) 485-5889
Address
PO BOX 10597
Deactivation Date
10 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5122442273
Graduation Year
1966 (60 years ago)
PAC ID
5294860078
Group Practice PAC ID
9739174954
Professional Enrollment ID
I20100318000346
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

  • PO BOX 10597

    AUSTIN, TX 787661597

    Phone: (512) 485-5889

    Fax: (512) 420-0397

    Type: Mailing

  • Links Lane, Forest Creek, Round Rock, Williamson County, Texas, 78664, United States

    SUITE 202

    ROUND ROCK, TX 786643901

    Phone: (512) 244-2273

    Fax: (512) 225-0450

    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 78766)

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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: 9739174954View full group profile
NameSpecialtyState
Nurse PractitionerTX
-TX
G A S T R O E N T E R O L O G YTX
G A S T R O E N T E R O L O G YTX
G A S T R O E N T E R O L O G YTX
Physician AssistantTX
G A S T R O E N T E R O L O G YTX
Gastroenterology, Internal MedicineTX
Physician AssistantTX
-TX

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1285602342 if you need a stable reference for Unknown Individual.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Gastroenterology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Austin, 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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