Unknown Individual – Clinical Neurophysiology Physician, NPI 1528029584

Clinical Neurophysiology Physician

Unknown Individual is a healthcare provider. based in Frisco, Texas. specializing in Clinical Neurophysiology Physician. They hold a License No. G2267 (TX). The NPI Number for Unknown Individual is 1528029584

Main info

Organization

Inactive

48 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1528029584

Phone

(469) 774-3375

Address

5375 COIT RD

Deactivation Date

26 October 2022

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2146191910

Graduation Year

1978 (48 years ago)

PAC ID

2769508654

Group Practice PAC ID

1153411483

Professional Enrollment ID

I20110125000995

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

5375, Coit Road, Frisco, Collin County, Texas, 75035, United States
STE 130
FRISCO, TX 750354914
Phone: (469) 774-3375
Fax: (214) 619-1914
Type: Mailing
375, Municipal Drive, Richardson, Dallas County, Texas, 75080, United States
SUITE 222
RICHARDSON, TX 750803624
Phone: (972) 783-8900
Type: Location

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 75035)

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Provider's Procedures

Unknown Individual performs procedures in Clinical Neurophysiology Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
NEUROLOGY	TX	20610	Aspiration and/or injection of large joint or joint capsule	14	11

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: 1153411483View full group profile

Name	Specialty	State
JUSTIN THOMAS JAMES (MD)	N E U R O L O G Y	TX
DR. SHA'RAY SHAW (MD)	N E U R O L O G Y	TX
ANN DOAN BASS (M.D.)	N E U R O L O G Y	TX
DR. MAUSHMI NILAY SHETH (M.D.)	N E U R O L O G Y	TX
MR. SAJISH EAPEN JACOB (M.D.)	N E U R O L O G Y	TX
DR. ADEEBA S KHAN (DO)	N E U R O L O G Y	FL
GEORGE BAILEY (MD)	N E U R O L O G Y	TX
ALLA H AL-HABIB (MD)	N E U R O L O G Y	TX
DR. MAHMOOD S AKHAVI (MD)	N E U R O L O G Y	TX
DR. CHAITANYA GOUD BONDA (M.D., MBBS)	N E U R O L O G Y	AR

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?

The NPI 1528029584 uniquely identifies Unknown Individual in U.S. healthcare data.

What happens when Unknown Individual's NPI is not active?

Public data lists Unknown Individual outside the active bucket for this identifier.

What services align with Unknown Individual's listing?

Unknown Individual's public classification highlights Clinical Neurophysiology Physician. Clinical services aligned with this taxonomy classification.

Which community is linked to Unknown Individual?

Unknown Individual shows a connection to Frisco, Texas in registry-derived data.

What is the difference between NPI and a medical license?

An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.