Unknown Individual – Surgical Physician Assistant, NPI 1548376247

Unknown Individual is a healthcare provider. based in Round rock, Texas. specializing in Surgical Physician Assistant. They hold a License No. PA02230 (TX). The NPI Number for Unknown Individual is 1548376247

Main info

Organization
Inactive
28 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1548376247
Phone
(512) 244-0766
Address
16020 PARK VALLEY DR
Deactivation Date
13 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5127446480
Graduation Year
1998 (28 years ago)
PAC ID
2062417066
Group Practice PAC ID
3971583840
Professional Enrollment ID
I20060926000376
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

  • 16020, Park Valley Drive, The Oaklands, Round Rock, Williamson County, Texas, 78681, United States

    ROUND ROCK, TX 78681

    Phone: (512) 244-0766

    Fax: (512) 244-1013

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2023-03-03 • Largest payer in this snapshot: Abbott Laboratories ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$26
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 78681)

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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: 3971583840View full group profile

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1548376247 — the number used across U.S. healthcare to identify this provider.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Round Rock?
Unknown Individual currently maps to Round Rock, Texas in this extract.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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