Unknown Individual – Emergency Medicine Physician, NPI 1700861481

Unknown Individual is a healthcare provider. based in Edinburg, Texas. specializing in Emergency Medicine Physician. They hold a License No. L9591 (TX). The NPI Number for Unknown Individual is 1700861481

Main info

Organization
Inactive
28 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1700861481
Phone
(956) 969-8969
Address
5501 S MCCOLL RD
Deactivation Date
17 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7278192929
Graduation Year
1998 (28 years ago)
PAC ID
0547225815
Group Practice PAC ID
6608198858
Professional Enrollment ID
I20150414001656
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

  • Doctors Hospital at Renaissance, 5501, South McColl Road, Edinburg, Hidalgo County, Texas, 78539, United States

    EDINBURG, TX 785399152

    Phone: (956) 969-8969

    Fax: (956) 973-9479

    Type: Location

  • 2210, Village Drive, Sharyland, Mission, Hidalgo County, Texas, 78572, United States

    MISSION, TX 785723280

    Phone: (956) 424-9010

    Fax: (956) 240-2661

    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
99285Emergency department visit with high level of medical decision making253243$0
99284Emergency department visit with moderate level of medical decision making107106$0
99291Critical care, first 30-74 minutes4746$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4341$0
71045X-ray of chest, 1 view2221$0
View full utilization report →

Insurance plans in this area (ZIP 78539)

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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: 6608198858View full group profile

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1700861481 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Edinburg, Texas?
If you are local to Edinburg, Texas, Unknown Individual may be relevant to your search.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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