Unknown Individual – Foot & Ankle Surgery Podiatrist, NPI 1427057348

Unknown Individual is a healthcare provider. based in Southlake, Texas. specializing in Foot & Ankle Surgery Podiatrist. They hold a License No. 1859 (TX). The NPI Number for Unknown Individual is 1427057348

Main info

Organization
Inactive
25 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1427057348
Phone
(817) 503-0009
Address
1940 E HIGHWAY 114 STE 150
Deactivation Date
30 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8174243668
Graduation Year
2001 (25 years ago)
PAC ID
9638247109
Group Practice PAC ID
2860425287
Professional Enrollment ID
I20081010000247
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

Provider Addresses for Unknown Individual

  • 1940 E HIGHWAY 114 STE 150

    SOUTHLAKE, TX 760926526

    Phone: (817) 503-0009

    Fax: (817) 503-8909

    Type: Location

  • West Harwood Road, Hurst, Tarrant County, Texas, 76054, United States

    HURST, TX 760546233

    Phone: (817) 424-3668

    Fax: (817) 442-8637

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-04-02 • Largest payer in this snapshot: Orthofix Medical, Inc. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Orthofix Medical, Inc.$20
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
99213Established patient office or other outpatient visit, 20-29 minutes756346$0
73630X-ray of foot, minimum of 3 views275173$0
11721Removal of fingernails or toenails, 6 or more nails16593$0
99203New patient office or other outpatient visit, 30-44 minutes142142$0
11042Removal of skin and tissue, 20.0 sq cm or less10424$0
View full utilization report →

Insurance plans in this area (ZIP 76092)

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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
PODIATRYTX73630X-ray of foot, minimum of 3 views14191

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: 2860425287View full group profile
NameSpecialtyState
P O D I A T R YPA
P O D I A T R YTX
P O D I A T R YTX
P O D I A T R YTX
P O D I A T R YTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1427057348?
NPI 1427057348 belongs to Unknown Individual; compare other details if you need extra assurance.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Southlake?
Unknown Individual currently maps to Southlake, Texas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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