Unknown Individual – Surgery Physician, NPI 1528259801

Unknown Individual is a healthcare provider. based in Kerrville, Texas. specializing in Surgery Physician. They hold a License No. N8668 (TX). The NPI Number for Unknown Individual is 1528259801

Main info

Organization
Inactive
26 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1528259801
Phone
(830) 258-7762
Address
575 HILL COUNTRY DR
Deactivation Date
25 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2524825868
Graduation Year
2000 (26 years ago)
PAC ID
9638262454
Group Practice PAC ID
0345343893
Professional Enrollment ID
I20080923000693
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 575, Hill Country Drive, Kerrville, Kerr County, Texas, 78028, United States

    KERRVILLE, TX 780286024

    Phone: (830) 258-7762

    Fax: (830) 258-7098

    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 78028)

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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: 0345343893View full group profile

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1528259801 if you need a stable reference for Unknown Individual.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Surgery Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Texas?
You will see Kerrville, Texas on file for Unknown Individual alongside any extra practice locations.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.