Unknown Individual – Urology Physician, NPI 1396869327

Unknown Individual is a healthcare provider. based in Mount pleasant, Texas. specializing in Urology Physician. They hold a License No. A98108 (CA). The NPI Number for Unknown Individual is 1396869327

Main info

Organization
Inactive
24 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1396869327
Phone
(903) 434-7111
Address
2001 N JEFFERSON AVE STE 210
Deactivation Date
5 February 2026

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
9035722957
Graduation Year
2002 (24 years ago)
PAC ID
2264526730
Group Practice PAC ID
0143203257
Professional Enrollment ID
I20190228002186
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 2001 N JEFFERSON AVE STE 210

    MOUNT PLEASANT, TX 754552390

    Phone: (903) 434-7111

    Fax: (903) 434-7112

    Type: Location

  • 2001 N JEFFERSON AVE

    MOUNT PLEASANT, TX 754552338

    Phone: (903) 577-6000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $947.

Total Amount is formed as General ($947) + Research ($0) + Ownership ($0) = $947.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: COLOPLAST CORP ($263).

Total Amount

$947

General + Research + Ownership

Payments

28

Total payment records

General Amount

$947

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

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
J1580Injection, garamycin, gentamicin, up to 80 mg227198$0
99214Established patient office or other outpatient visit, 30-39 minutes188139$0
99213Established patient office or other outpatient visit, 20-29 minutes181132$0
52000Diagnostic exam of bladder and urethra using an endoscope170161$0
96372Injection of drug or substance under skin or into muscle140123$0
View full utilization report →

Insurance plans in this area (ZIP 75455)

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Provider's Procedures

Unknown Individual performs procedures in Urology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYCA51798Ultrasound measurement of bladder capacity after voiding7366
UROLOGYCA55700Biopsy of prostate gland5148
UROLOGYCA76872Ultrasound of rectum179168

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: 0143203257View full group profile
NameSpecialtyState
Nurse PractitionerTX
Internal MedicineTX
Family PracticeTX
Internal Medicine, Interventional CardiologyTX
Family PracticeTX
N E U R O S U R G E R YTX
H O S P I T A L I S TTX
U R O L O G YAL
Diagnostic RadiologyTX
Medical OncologyMO

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1396869327.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Urology Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Mount Pleasant, Texas; more addresses can appear in NPPES.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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