Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1386620110

Anatomic Pathology & Clinical Pathology Physician

Unknown Individual is a healthcare provider. based in Addison, Texas. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. 01029422A (IN). The NPI Number for Unknown Individual is 1386620110

Main info

Organization

Inactive

47 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1386620110

Phone

(214) 932-8029

Address

14275 MIDWAY RD

Deactivation Date

22 April 2021

Doctor Profile

Medical School Name

INDIANA UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

3175827123

Graduation Year

1979 (47 years ago)

PAC ID

4688630601

Group Practice PAC ID

2961475058

Professional Enrollment ID

I20041201001080

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience19

Completeness75

Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

14275, Midway Road, Addison, Dallas County, Texas, 75001, United States
SUITE 400
ADDISON, TX 750013614
Phone: (214) 932-8029
Fax: (610) 271-4245
Type: Mailing
Shadeland Avenue, Indianapolis, Marion, Indiana, 46226, United States
SUITE A
INDIANAPOLIS, IN 462191706
Phone: (317) 275-8022
Fax: (317) 275-8124
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 75001)

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Provider's Procedures

Unknown Individual performs procedures in Anatomic Pathology & Clinical Pathology Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
PATHOLOGY	IN	88304	Pathology examination of tissue using a microscope, moderately low complexity	87	83
PATHOLOGY	IN	88307	Pathology examination of tissue using a microscope, moderately high complexity	167	122

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: 2961475058View full group profile

Name	Specialty	State
DR. JOHN M. OSCHERWITZ (MD)	P A T H O L O G Y	TX
DR. CRAIG M. NOVY (MD)	-	TX
DR. TED BLOCH (MD)	-	TX
DR. MICHAEL DAVID SEVER (M.D.)	P A T H O L O G Y	IN
DR. MEGAN ANNE ALDERMAN (M.D.)	P A T H O L O G Y	MI
DR. TERENCE J. CUDAHY (MD)	-	IN
RICK BAINS (D.O.)	P A T H O L O G Y	TX
ANN ELIZABETH MARSHALL (M.D.)	P A T H O L O G Y	IN
DR. JUGNOO HUSAIN (MD)	-	TX
SHEILA ROUMPF (M.D.)	P A T H O L O G Y	IN

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?

You can start verification with NPI 1386620110 for Unknown Individual, then check state licensing separately.

Why might Unknown Individual appear inactive while still practicing?

We display what the registry publishes: Unknown Individual appears inactive there.

What healthcare role does Unknown Individual hold?

Scheduling teams often label Unknown Individual under Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.

What area does Unknown Individual serve?

Unknown Individual's listing highlights Addison, Texas; more addresses can appear in NPPES.

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.