Unknown Individual – General Practice Physician, NPI 1457363053

Unknown Individual is a healthcare provider. based in Pittsburg, Texas. specializing in General Practice Physician. They hold a License No. F8936 (TX). The NPI Number for Unknown Individual is 1457363053

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1457363053
Phone
(903) 946-5442
Address
2701 US HIGHWAY 271 N
Deactivation Date
28 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9039465442
Graduation Year
1979 (47 years ago)
PAC ID
1052458809
Group Practice PAC ID
5597029272
Professional Enrollment ID
I20091027000568
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

  • 2701 US HIGHWAY 271 N

    PITTSBURG, TX 756864289

    Phone: (903) 946-5442

    Fax: (903) 946-5258

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $137.

Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.

Last reported payment date: 2023-11-29 • Largest payer in this snapshot: Lilly USA, LLC ($36).

Total Amount

$137

General + Research + Ownership

Payments

9

Total payment records

General Amount

$137

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-29

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75686)

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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: 5597029272View full group profile
NameSpecialtyState
Family PracticeTX
Physician AssistantTX
Family PracticeTX
Nurse PractitionerTX
Family PracticeTX
Pediatric MedicineTX
-TX
Nurse PractitionerTX
Family PracticeTX
Interventional CardiologyTX

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1457363053 if you need a stable reference for Unknown Individual.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within General Practice Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Texas?
You will see Pittsburg, Texas on file for Unknown Individual alongside any extra practice locations.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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