Unknown Individual – Foot Surgery Podiatrist, NPI 1578566238

Unknown Individual is a healthcare provider. based in Dallas, Texas. specializing in Foot Surgery Podiatrist. They hold a License No. 0520 (TX). The NPI Number for Unknown Individual is 1578566238

Main info

Organization
Inactive
52 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1578566238
Phone
(214) 351-2180
Address
4523 W LOVERS LN
Deactivation Date
22 May 2024

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
-
Graduation Year
1974 (52 years ago)
PAC ID
6608960042
Professional Enrollment ID
I20070917000403
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

  • 4523, West Lovers Lane, Dallas, TX, Dallas, Dallas County, Texas, 75225, United States

    DALLAS, TX 752093131

    Phone: (214) 351-2180

    Fax: (214) 351-3886

    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 2 Open Payments records for all available years, with a total value of $172.

Total Amount is formed as General ($172) + Research ($0) + Ownership ($0) = $172.

Last reported payment date: 2023-11-16 • Largest payer in this snapshot: Kerecis Limited ($160).

Total Amount

$172

General + Research + Ownership

Payments

2

Total payment records

General Amount

$172

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-16

Latest reported date

Top Companies

Largest payers in this snapshot

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes14151$0
73630X-ray of foot, minimum of 3 views8043$0
99204New patient office or other outpatient visit, 45-59 minutes3838$0
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Insurance plans in this area (ZIP 75209)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1578566238?
NPI 1578566238 belongs to Unknown Individual; compare other details if you need extra assurance.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Foot Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Dallas?
Public fields place Unknown Individual around Dallas, Texas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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