Unknown Individual – Diagnostic Radiology Physician, NPI 1639169014

Unknown Individual is a healthcare provider. based in Mesquite, Texas. specializing in Diagnostic Radiology Physician. They hold a License No. H8206 (TX). The NPI Number for Unknown Individual is 1639169014

Main info

Organization
Inactive
37 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1639169014
Phone
(972) 216-4411
Address
529 N GALLOWAY AVE
Deactivation Date
13 October 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
4322214911
Graduation Year
1989 (37 years ago)
PAC ID
1951207224
Group Practice PAC ID
4688564586
Professional Enrollment ID
I20031209000035
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

  • 529, North Galloway Avenue, Mesquite, Dallas County, Texas, 75149, United States

    SUITE 16

    MESQUITE, TX 751493420

    Phone: (972) 216-4411

    Fax: (972) 216-7346

    Type: Location

  • PO BOX 180065

    DALLAS, TX 752180065

    Phone: (972) 216-4411

    Fax: (972) 216-7346

    Type: Mailing

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
71045X-ray of chest, 1 view155129$0
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Insurance plans in this area (ZIP 75149)

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Provider's Procedures

Unknown Individual performs procedures in Diagnostic Radiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYTX71250CT scan chest3634
DIAGNOSTIC RADIOLOGYTX74177CT scan of abdomen and pelvis with contrast5857

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: 4688564586View full group profile
NameSpecialtyState
DR. JESSE JAY III DALEHITE (M.D.)
Diagnostic Radiology, Interventional RadiologyAR
DR. BEDRO JIN (M.D.)
Diagnostic RadiologyCA
CHARLES C NICOLETTE (MD)
Diagnostic RadiologyTX
DR. ANDERSON HOUYUN KUO (M.D.)
Diagnostic RadiologyTX
VIET NGUYEN (M.D.)
Diagnostic RadiologyTX
DR. MARLON HUGHES (M.D.)
-TX
GINA MARIE CAMPAGNA (M.D.)
Diagnostic RadiologyTX
DR. NIRAV BIPIN DAS (MD)
Diagnostic RadiologyTX
DR. RICHARD G MURRAY (M.D.)
Diagnostic RadiologyTX
DR. PATRICIA HUGHES (M.D.)
-TX

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1639169014 — the number used across U.S. healthcare to identify this provider.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Diagnostic Radiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Texas is Unknown Individual registered?
Use Mesquite, Texas as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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