Unknown Individual – Family Medicine Physician, NPI 1710999412

Unknown Individual is a healthcare provider. based in The colony, Texas. specializing in Family Medicine Physician. They hold a License No. H2690 (TX). The NPI Number for Unknown Individual is 1710999412

Main info

Organization
Inactive
40 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1710999412
Phone
(972) 625-5442
Address
6600 PAIGE RD
Deactivation Date
24 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
-
Graduation Year
1986 (40 years ago)
PAC ID
6901088434
Professional Enrollment ID
I20110304000505
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

  • 6600, Paige Road, The Colony, Denton County, Texas, 75056, United States

    SUITE 105

    THE COLONY, TX 750564500

    Phone: (972) 625-5442

    Fax: (972) 370-2301

    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 3 Open Payments records for all available years, with a total value of $45.

Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.

Last reported payment date: 2024-07-29 • Largest payer in this snapshot: Amgen Inc. ($16).

Total Amount

$45

General + Research + Ownership

Payments

3

Total payment records

General Amount

$45

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-29

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 minutes25973$0
36415Insertion of needle into vein for collection of blood sample18973$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count18571$0
81003Automated urinalysis test18371$0
J1100Injection, dexamethasone sodium phosphate, 1 mg15217$0
View full utilization report →

Insurance plans in this area (ZIP 75056)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1710999412 as the unique 10-digit identifier.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near The Colony?
Unknown Individual currently maps to The Colony, Texas in this extract.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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