Unknown Individual – Rheumatology Physician, NPI 1700919719

Unknown Individual is a healthcare provider. based in Corpus christi, Texas. specializing in Rheumatology Physician. They hold a License No. K9873 (TX). The NPI Number for Unknown Individual is 1700919719

Main info

Organization
Inactive
62 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1700919719
Phone
(361) 885-0010
Address
PO BOX 3806
Deactivation Date
18 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3618850010
Graduation Year
1964 (62 years ago)
PAC ID
7618927419
Group Practice PAC ID
4981654787
Professional Enrollment ID
I20050202000130
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

Provider Addresses for Unknown Individual

  • PO BOX 3806

    CORPUS CHRISTI, TX 784633806

    Phone: (361) 885-0010

    Fax: (361) 885-0001

    Type: Mailing

  • 613 ELIZABETH ST

    SUITE 704

    CORPUS CHRISTI, TX 784042220

    Phone: (361) 885-0010

    Fax: (361) 885-0001

    Type: Location

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 78463)

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Provider's Procedures

Unknown Individual performs procedures in Rheumatology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RHEUMATOLOGYTX96415Infusion of chemotherapy into a vein26842

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: 4981654787View full group profile
NameSpecialtyState
R H E U M A T O L O G YTX
R H E U M A T O L O G YTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1700919719 — 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 clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Rheumatology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Corpus Christi, Texas.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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