Unknown Individual – Anesthesiology Physician, NPI 1497836506

Unknown Individual is a healthcare provider. based in Richardson, Texas. specializing in Anesthesiology Physician. They hold a License No. G0812 (TX). The NPI Number for Unknown Individual is 1497836506

Main info

Organization
Inactive
59 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1497836506
Phone
(972) 276-6100
Address
1721 ANALOG DR
Deactivation Date
8 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9722766100
Graduation Year
1967 (59 years ago)
PAC ID
9931180288
Group Practice PAC ID
1052300100
Professional Enrollment ID
I20040525000298
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

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Provider Addresses for Unknown Individual

  • 1721, Analog Drive, Richardson, Dallas County, Texas, 75081, United States

    RICHARDSON, TX 750811944

    Phone: (972) 276-6100

    Fax: (972) 276-1231

    Type: Mailing

  • 2601, Hackberry Place, Plano, Collin County, Texas, 75025, United States

    PLANO, TX 750256020

    Phone: (972) 742-3979

    Type: Location

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 $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Biosense Webster, Inc. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Biosense Webster, Inc.$23
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 75081)

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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: 1052300100View full group profile

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 1497836506.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is Unknown Individual registered?
Use Richardson, Texas as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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