Unknown Individual – General Practice Physician, NPI 1528096781

Unknown Individual is a healthcare provider. based in Seagoville, Texas. specializing in General Practice Physician. They hold a License No. E9430 (TX). The NPI Number for Unknown Individual is 1528096781

Main info

Organization
Inactive
50 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1528096781
Phone
(972) 287-7788
Address
605 AVALON DR
Deactivation Date
7 February 2024

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Secondary Phone
-
Graduation Year
1976 (50 years ago)
PAC ID
3971829623
Professional Enrollment ID
I20150224001689
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

  • 605, Avalon Drive, Seagoville, Dallas County, Texas, 75159, United States

    SEAGOVILLE, TX 751593034

    Phone: (972) 287-7788

    Fax: (972) 287-7978

    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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes24377$0
99213Established patient office or other outpatient visit, 20-29 minutes10255$0
96372Injection of drug or substance under skin or into muscle2017$0
99204New patient office or other outpatient visit, 45-59 minutes1717$0
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Insurance plans in this area (ZIP 75159)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1528096781.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to General Practice Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Seagoville, Texas?
For routing, start with Seagoville, Texas for Unknown Individual, then verify phone and hours locally.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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