Unknown Individual – Rheumatology Physician, NPI 1508837766

Unknown Individual is a healthcare provider. based in Kyle, Texas. specializing in Rheumatology Physician. They hold a License No. TEMP (TX). The NPI Number for Unknown Individual is 1508837766

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1508837766
Phone
(512) 244-4272
Address
135 Bunton Creek Rd Ste 302
Deactivation Date
6 November 2025

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
6109338484
Graduation Year
1983 (43 years ago)
PAC ID
6103720503
Group Practice PAC ID
8123929114
Professional Enrollment ID
I20101108000465
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:0State licenses:3Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 135 Bunton Creek Rd Ste 302

    Kyle, TX 786405701

    Phone: (512) 244-4272

    Fax: (512) 244-2895

    Type: Location

  • 3418 N LaMar Blvd Ste 100

    Austin, TX 787051116

    Phone: (512) 244-4272

    Fax: (512) 244-2895

    Type: Location

  • 13 Armand Hammer Blvd Ste 210

    Pottstown, PA 194645067

    Phone: (610) 327-2405

    Fax: (610) 327-8765

    Type: Location

  • 101 W LOUIS HENNA BLVD STE 300

    AUSTIN, TX 787281203

    Phone: (512) 492-3743

    Fax: (512) 593-4444

    Type: Mailing

  • 135 BUNTON CREEK RD STE 302

    KYLE, TX 786405701

    Phone: (512) 244-4272

    Fax: (512) 244-2895

    Type: Location

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752844658

    Phone:

    Type: Mailing

  • Baylor Scott & White Medical Center - Temple, 2401, South 31st Street, Temple, Bell County, Texas, 76508, United States

    TEMPLE, TX 765082722

    Phone: (254) 725-4211

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 234 Open Payments records for all available years, with a total value of $74,760.

Total Amount is formed as General ($74,760) + Research ($0) + Ownership ($0) = $74,760.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($63,360).

Total Amount

$74,760

General + Research + Ownership

Payments

234

Total payment records

General Amount

$74,760

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes12275$0
99205New patient office or other outpatient visit, 60-74 minutes114114$0
99214Established patient office or other outpatient visit, 30-39 minutes10662$0
99204New patient office or other outpatient visit, 45-59 minutes5150$0
99213Established patient office or other outpatient visit, 20-29 minutes3834$0
View full utilization report →

Insurance plans in this area (ZIP 78640)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Rheumatology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RHEUMATOLOGYTX96415Infusion of chemotherapy into a vein34249

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: 8123929114View full group profile

Reviews

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

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1508837766.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Rheumatology Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Kyle, Texas in the data we show; additional addresses may exist on the full record.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."