Unknown Individual – Internal Medicine Physician, NPI 1407865579

Unknown Individual is a healthcare provider. based in Houston, Texas. specializing in Internal Medicine Physician. They hold a License No. D9343 (TX). The NPI Number for Unknown Individual is 1407865579

Main info

Organization
Inactive
61 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1407865579
Phone
(832) 709-1515
Address
6430 HILLCROFT ST
Deactivation Date
6 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8327091515
Graduation Year
1965 (61 years ago)
PAC ID
4385702455
Group Practice PAC ID
2466355185
Professional Enrollment ID
I20081017000523
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

Provider Addresses for Unknown Individual

  • 6430 HILLCROFT ST

    HOUSTON, TX 770813191

    Phone: (832) 709-1515

    Fax: (832) 260-0115

    Type: Mailing

  • Bellaire Post Office, 5350, Bellaire Boulevard, Bellaire, Harris County, Texas, 77074, United States

    BELLAIRE, TX 774022668

    Phone: (866) 446-4936

    Fax: (713) 450-3988

    Type: Mailing

  • 9031, Quebec Drive, Maplewood North Section 2, Maplewood North, Braeburn, Houston, Harris County, Texas, 77096, United States

    HOUSTON, TX 770962932

    Phone: (866) 446-4936

    Fax: (713) 450-3988

    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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes10437$0
View full utilization report →

Insurance plans in this area (ZIP 77081)

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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: 2466355185View full group profile

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1407865579 uniquely identifies Unknown Individual in U.S. healthcare data.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Houston, Texas?
If you are local to Houston, Texas, Unknown Individual may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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