Unknown Individual – Adult Medicine Physician, NPI 1285865238

Adult Medicine Physician

Unknown Individual is a healthcare provider. based in Corpus christi, Texas. specializing in Adult Medicine Physician. They hold a License No. EO243 (TX). The NPI Number for Unknown Individual is 1285865238

Main info

Organization

Inactive

57 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1285865238

Phone

(361) 902-6100

Address

2606 HOSPITAL BLVD STE F

Deactivation Date

25 November 2020

Doctor Profile

Medical School Name

OTHER

Secondary Phone

3619026100

Graduation Year

1969 (57 years ago)

PAC ID

4082849203

Group Practice PAC ID

8921919580

Professional Enrollment ID

I20140423000263

Data current as of

20 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

2606 HOSPITAL BLVD STE F
CORPUS CHRISTI, TX 784051804
Phone: (361) 902-6100
Fax: (361) 902-6935
Type: Location
700 Flournoy Rd
Suite 2A
Alice, TX 783324003
Phone: (361) 664-1417
Fax: (361) 664-3218
Type: Location
204, East 1st Street, North Hilltop Addition Colonia, Alice, Jim Wells County, Texas, 78332, United States
ALICE, TX 783324822
Phone: (361) 396-0370
Fax: (361) 664-2248
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 78405)

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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: 8921919580View full group profile

Name	Specialty	State
MRS. AUDREY ROSE GUILLERMO LEWKOWITZ (PHYSICIAN ASSISTANT)	Physician Assistant	WA
LYNN ELLIOTT THOMPSON (M.D.)	-	TX
RICCA DIMALIBOT (M.D.)	-	TX
LAURA C FLORES-RODRIGUEZ	-	TX
MARY CATHERINE MANCINI (M.D.)	-	LA
GABRIELA IVONNE VAZQUEZ SANTOS (M.D.)	-	TX
ABHAY VAKIL (M.B.B.S)	Internal Medicine, Pulmonary Disease, Critical Care (Intensivists)	TX
DR. ALLISON KEELER SCHEBLER-POULOS (D.O.)	Family Practice	TX
SARAH CATHERINE GAYLORD (FNP)	-	TX
MARY KATE YOUNG (NP)	-	LA

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 1285865238.

What dates should I check for Unknown Individual's activity?

We display what the registry publishes: Unknown Individual appears inactive there.

What taxonomy line describes Unknown Individual?

For research purposes, treat Unknown Individual as Adult Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.

Where should I expect Unknown Individual on a map?

Expect Corpus Christi, Texas as a primary anchor for Unknown Individual unless the record lists multiple sites.

Why does Unknown Individual have multiple addresses?

3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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