Unknown Individual – Internal Medicine Physician, NPI 1710979182

Unknown Individual is a healthcare provider. based in Sherman, Texas. specializing in Internal Medicine Physician. They hold a License No. E6230 (TX). The NPI Number for Unknown Individual is 1710979182

Main info

Organization
Inactive
50 Years Of Experience
Name
Unknown Individual
NPI
1710979182
Phone
(903) 893-5508
Address
300 N BRYANT
Deactivation Date
19 July 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
9038935508
Graduation Year
1976 (50 years ago)
PAC ID
8729240551
Professional Enrollment ID
I20120424000372
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

  • 300, North Bryant Avenue, Sherman, Grayson County, Texas, 75092, United States

    SHERMAN, TX 750927336

    Phone: (903) 893-5508

    Fax: (903) 870-0258

    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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99441Telephone medical discussion with physician, 5-10 minutes547184$0
99213Established patient office or other outpatient visit, 20-29 minutes403211$0
36415Insertion of needle into vein for collection of blood sample384221$0
99214Established patient office or other outpatient visit, 30-39 minutes7673$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report4132$0
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Insurance plans in this area (ZIP 75092)

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Provider's Procedures

Unknown Individual performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINETX93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report742196

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1710979182 for Unknown Individual.
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 Internal Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Sherman, Texas?
If you are local to Sherman, 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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