Unknown Individual – Gynecology Physician, NPI 1578565883

Unknown Individual is a healthcare provider. based in Houston, Texas. specializing in Gynecology Physician. They hold a License No. D4671 (TX). The NPI Number for Unknown Individual is 1578565883

Main info

Organization
Inactive
61 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1578565883
Phone
(713) 512-7500
Address
7900 FANNIN ST STE 4000
Deactivation Date
25 October 2023

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1965 (61 years ago)
PAC ID
6305986860
Group Practice PAC ID
4688999022
Professional Enrollment ID
I20091215000327
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

  • Fannin Street, Texas Medical Center, Houston, Harris County, Texas, 77030, United States

    OBGYN MEDICAL CENTER ASSOCIATES, PLLC

    HOUSTON, TX 770542935

    Phone: (713) 512-7500

    Fax: (713) 512-7670

    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 77054)

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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: 4688999022View full group profile
NameSpecialtyState
-TX
Family PracticeTX
Nurse PractitionerTX
Family PracticeTX
-TX
Physician AssistantTX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX
Family Practice, Geriatric MedicineTX
-TX

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1578565883 uniquely identifies Unknown Individual in U.S. healthcare data.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Gynecology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Houston, Texas in the same public data insurers reference.
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.

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