Unknown Individual – Internal Medicine Physician, NPI 1467405365

Unknown Individual is a healthcare provider. based in Dallas, Texas. specializing in Internal Medicine Physician. They hold a License No. E2810 (TX). The NPI Number for Unknown Individual is 1467405365

Main info

Organization
Inactive
52 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1467405365
Phone
(214) 369-8101
Address
8210 WALNUT HILL LN
Deactivation Date
5 April 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
9722847000
Graduation Year
1974 (52 years ago)
PAC ID
6709882921
Group Practice PAC ID
4587759113
Professional Enrollment ID
I20110105001098
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

  • Walnut Hill Lane, Dallas, Dallas County, Texas, 75231, United States

    SUITE 505

    DALLAS, TX 752314405

    Phone: (214) 369-8101

    Fax: (214) 369-7318

    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)

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 75231)

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Provider's Procedures

Unknown Individual performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINETX83036Hemoglobin A1C level10286

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: 4587759113View full group profile
NameSpecialtyState
Internal MedicineTX
Internal MedicineTX
Nurse PractitionerCT
Internal MedicineTX
Internal MedicineTX
Internal MedicineTX
Internal MedicineTX
Internal MedicineTX
Physician AssistantTX
Internal MedicineTX

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1467405365.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is Unknown Individual registered?
Use Dallas, Texas as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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