Unknown Individual – Foot & Ankle Surgery Podiatrist, NPI 1336253392

Unknown Individual is a healthcare provider. based in New braunfels, Texas. specializing in Foot & Ankle Surgery Podiatrist. They hold a License No. 0927 (TX). The NPI Number for Unknown Individual is 1336253392

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1336253392
Phone
(830) 625-1642
Address
1524 N WALNUT AVE
Deactivation Date
2 November 2021

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
8306251642
Graduation Year
1985 (41 years ago)
PAC ID
1951364785
Group Practice PAC ID
9032272216
Professional Enrollment ID
I20090114000417
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

  • 1524, North Walnut Avenue, Grandview Addition, Kirkwood, New Braunfels, Comal County, Texas, 78130, United States

    NEW BRAUNFELS, TX 781306074

    Phone: (830) 625-1642

    Fax: (830) 625-1672

    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)

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 78130)

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Provider's Procedures

Unknown Individual performs procedures in Foot & Ankle Surgery Podiatrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYTX11056Removal of 2 to 4 thickened skin growths5932
PODIATRYTX73630X-ray of foot, minimum of 3 views5145

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1336253392 for Unknown Individual, then check state licensing separately.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to New Braunfels, Texas in the data we show; additional addresses may exist on the full record.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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