Unknown Individual – Urology Physician, NPI 1386605665

Unknown Individual is a healthcare provider. based in Dallas, Texas. specializing in Urology Physician. They hold a License No. D5170 (TX). The NPI Number for Unknown Individual is 1386605665

Main info

Organization
Inactive
58 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1386605665
Phone
Not provided
Address
PO BOX 844658
Deactivation Date
23 January 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
2542150100
Graduation Year
1968 (58 years ago)
PAC ID
6406998855
Group Practice PAC ID
8123923604
Professional Enrollment ID
I20100122000345
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

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

    DALLAS, TX 752844658

    Phone:

    Type: Mailing

  • Baylor Scott & White Medical Center - Temple, 2401, South 31st Street, Temple, Bell County, Texas, 76508, United States

    TEMPLE, TX 765080001

    Phone: (254) 724-2111

    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 75284)

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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: 8123923604View full group profile
NameSpecialtyState
Radiation OncologyTX
U R O L O G YTX
General SurgeryOK
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Anesthesiology AssistantTX
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1386605665 — is the standard way to identify this listing.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Urology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Dallas, Texas may find Unknown Individual in results; validate coverage separately.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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