Unknown Individual – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1316921638

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Unknown Individual is a healthcare provider. based in Lubbock, Texas. specializing in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. They hold a License No. L2300 (TX). The NPI Number for Unknown Individual is 1316921638

Main info

Organization

Inactive

44 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1316921638

Phone

(806) 743-2898

Address

PO BOX 5865

Deactivation Date

8 February 2022

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8067433150

Graduation Year

1982 (44 years ago)

PAC ID

6204987159

Group Practice PAC ID

4385549674

Professional Enrollment ID

I20090706000459

Contacts

Secure Messaging

ari.halldorsson@direct.myteamcare.com

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience19

Completeness85

Years active:0State licenses:1Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

Lubbock Post Office, 1515, Crickets Avenue, Lubbock, Lubbock County, Texas, 79402, United States
LUBBOCK, TX 794085865
Phone: (806) 743-2898
Fax: (806) 743-2787
Type: Mailing
Texas Tech Health Sciences Center, 3601, 4th Street, Lubbock, Lubbock County, Texas, 79415, United States
SUITE 3A112
LUBBOCK, TX 794300002
Phone: (806) 743-2373
Fax: (806) 743-2113
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 79408)

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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: 4385549674View full group profile

Name	Specialty	State
ANKUSH LAHOTI (M.D.)	Interventional Cardiology	PA
MIR TAJAMMUL HUSSAIN (MD)	A N E S T H E S I O L O G Y	TX
ERIKA RADFORD	-	TX
KIMBERLY MELCHER (FNP)	Nurse Practitioner	TX
PARUNYOU JULAYANONT (M.D.)	-	TX
MEAGAN SHELDON (ACNPC-AG)	Nurse Practitioner	TX
KELLY A. BENNETT (M.D.)	Family Practice	TX
MR. CHRISTIAN ANAPA TEKWE (CRNA)	Certified Registered Nurse Anesthetist (Crna)	TX
ANTHONY RAYMOND FULLER (CRNA)	-	TX
RICHARD E WINN (MD)	-	TX

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?

Unknown Individual — NPI 1316921638 — is the standard way to identify this listing.

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 Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in this dataset. Clinical services aligned with this taxonomy classification.

Where is Unknown Individual based?

Unknown Individual is tied to Lubbock, Texas in the data we show; additional addresses may exist on the full record.

Is specialty guaranteed by NPI alone?

Taxonomy selections describe intent; scope of practice still follows state law.