Unknown Individual – Critical Care Medicine (Anesthesiology) Physician, NPI 1306047543

Unknown Individual is a healthcare provider. based in Dallas, Texas. specializing in Critical Care Medicine (Anesthesiology) Physician. They hold a License No. N5483 (TX). The NPI Number for Unknown Individual is 1306047543

Main info

Organization
Inactive
21 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1306047543
Phone
(713) 620-4000
Address
PO BOX 650865
Deactivation Date
30 October 2025

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
7135664635
Graduation Year
2005 (21 years ago)
PAC ID
6709923972
Group Practice PAC ID
8426960360
Professional Enrollment ID
I20100803000345
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752650865

    Phone: (713) 620-4000

    Type: Mailing

  • 2411, Fountain View Drive, Houston, Harris County, Texas, 77057, United States

    STE. 200

    HOUSTON, TX 770574817

    Phone: (713) 620-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $86.

Total Amount is formed as General ($86) + Research ($0) + Ownership ($0) = $86.

Last reported payment date: 2024-06-06 • Largest payer in this snapshot: Masimo Corporation ($38).

Total Amount

$86

General + Research + Ownership

Payments

4

Total payment records

General Amount

$86

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-06

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes3214$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1812$0
View full utilization report →

Insurance plans in this area (ZIP 75265)

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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: 8426960360View full group profile
NameSpecialtyState
Emergency MedicineIL
Anesthesiology, Critical Care (Intensivists)TX
A N E S T H E S I O L O G YTX
-TX
Diagnostic RadiologyTX
Physician AssistantTX
Certified Nurse Midwife (Cnm)TX
O T O L A R Y N G O L O G YTX
Physician AssistantTX
Physician AssistantTX

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1306047543 — 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.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Critical Care Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Dallas, Texas as the reference point for Unknown Individual, then confirm.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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