Unknown Individual – Anesthesiology Physician, NPI 1336134071

Unknown Individual is a healthcare provider. based in Beaumont, Texas. specializing in Anesthesiology Physician. They hold a License No. J6102 (TX). The NPI Number for Unknown Individual is 1336134071

Main info

Organization
Inactive
36 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1336134071
Phone
(409) 838-5214
Address
PO BOX 5587
Deactivation Date
26 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
4098385214
Graduation Year
1990 (36 years ago)
PAC ID
8426127341
Group Practice PAC ID
2264792449
Professional Enrollment ID
I20100618000547
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

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Provider Addresses for Unknown Individual

  • Beaumont Post Office, 1025, Majestic Drive, Beaumont, Lexington, Fayette County, Kentucky, 40513, United States

    BEAUMONT, TX 777265587

    Phone: (409) 838-5214

    Type: Mailing

  • 755, North 11th Street, Beaumont, Jefferson County, Texas, 78734, United States

    SUITE P3600

    BEAUMONT, TX 777021501

    Phone: (409) 838-5214

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $84.

Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.

Last reported payment date: 2024-02-20 • Largest payer in this snapshot: Fisher & Paykel Healthcare Inc ($84).

Total Amount

$84

General + Research + Ownership

Payments

1

Total payment records

General Amount

$84

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-20

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
00142Anesthesia for lens surgery6262$0
01992Anesthesia for nerve block and injection procedure, prone position2928$0
36620Insertion of artery tube for blood sampling or infusion through skin1111$0
View full utilization report →

Insurance plans in this area (ZIP 77726)

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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: 2264792449View full group profile

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1336134071; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Beaumont, Texas for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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