Unknown Individual – Anatomic Pathology Physician, NPI 1285757906

Unknown Individual is a healthcare provider. based in Dallas, Texas. specializing in Anatomic Pathology Physician. They hold a License No. J5459 (TX). The NPI Number for Unknown Individual is 1285757906

Main info

Organization
Inactive
68 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1285757906
Phone
(214) 522-7742
Address
3415 HARVARD AVE
Deactivation Date
16 August 2023

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4697641000
Graduation Year
1958 (68 years ago)
PAC ID
8123267879
Group Practice PAC ID
7911961677
Professional Enrollment ID
I20130610000671
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

  • 3415 HARVARD AVE

    DALLAS, TX 752053242

    Phone: (214) 522-7742

    Fax: (214) 820-7533

    Type: Mailing

  • 3500 GASTON AVE

    SUITE H-030

    DALLAS, TX 752462017

    Phone: (214) 820-7911

    Fax: (214) 820-7533

    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.

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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
88305Pathology examination of tissue using a microscope, intermediate complexity1813$0
View full utilization report →

Insurance plans in this area (ZIP 75205)

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Provider's Procedures

Unknown Individual performs procedures in Anatomic Pathology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYTX88304Pathology examination of tissue using a microscope, moderately low complexity3230
PATHOLOGYTX88307Pathology examination of tissue using a microscope, moderately high complexity1515

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: 7911961677View full group profile
NameSpecialtyState
P A T H O L O G YTX
P A T H O L O G YTX
P A T H O L O G YTX
P A T H O L O G YMD
P A T H O L O G YTX
P A T H O L O G YTX
P A T H O L O G YTN
-TX
P A T H O L O G YTX
P A T H O L O G YTN

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1285757906 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Anatomic Pathology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Dallas, Texas because that is what the record indicates for Unknown Individual.
What if Dallas, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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