Unknown Individual – Nephrology Physician, NPI 1295761013

Unknown Individual is a healthcare provider. based in Corpus christi, Texas. specializing in Nephrology Physician. They hold a License No. H6747 (TX). The NPI Number for Unknown Individual is 1295761013

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1295761013
Phone
(361) 882-9278
Address
614 FURMAN AVE
Deactivation Date
31 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3618829278
Graduation Year
1985 (41 years ago)
PAC ID
9638105216
Group Practice PAC ID
2860478815
Professional Enrollment ID
I20070416000198
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

  • 614, Furman Avenue, Downtown, Corpus Christi, Nueces County, Texas, 78404, United States

    CORPUS CHRISTI, TX 784042325

    Phone: (361) 882-9278

    Fax: (361) 882-9279

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $464.

Total Amount is formed as General ($464) + Research ($0) + Ownership ($0) = $464.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Vifor Pharma, Inc. ($447).

Total Amount

$464

General + Research + Ownership

Payments

28

Total payment records

General Amount

$464

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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 78404)

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Provider's Procedures

Unknown Individual performs procedures in Nephrology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYTX90935Hemodialysis procedure with one physician evaluation19373

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: 2860478815View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nephrology, Internal MedicineTX
Nephrology, Internal MedicineTX
Nephrology, Internal MedicineTX
Internal Medicine, NephrologyTX
N E P H R O L O G YTX
Internal Medicine, NephrologyTX
Nephrology, Internal MedicineTX

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1295761013 — the number used across U.S. healthcare to identify this provider.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is Unknown Individual registered?
Use Corpus Christi, Texas as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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