Unknown Individual – Family Medicine Physician, NPI 1811983604

Unknown Individual is a healthcare provider. based in Mckinney, Texas. specializing in Family Medicine Physician. They hold a License No. K8636 (TX). The NPI Number for Unknown Individual is 1811983604

Main info

Organization
Inactive
29 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1811983604
Phone
(214) 544-2624
Address
4561 MEDICAL CENTER DR
Deactivation Date
26 June 2025

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
9723462279
Graduation Year
1997 (29 years ago)
PAC ID
4981672615
Group Practice PAC ID
3779682877
Professional Enrollment ID
I20040921000677
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

  • 4561, Medical Center Drive, McKinney, Collin County, Texas, 75069, United States

    MCKINNEY, TX 750691651

    Phone: (214) 544-2624

    Fax: (214) 544-2630

    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 16 Open Payments records for all available years, with a total value of $337.

Total Amount is formed as General ($337) + Research ($0) + Ownership ($0) = $337.

Last reported payment date: 2024-01-05 • Largest payer in this snapshot: ABBVIE INC. ($96).

Total Amount

$337

General + Research + Ownership

Payments

16

Total payment records

General Amount

$337

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-05

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 minutes162105$0
36415Insertion of needle into vein for collection of blood sample156113$0
81003Automated urinalysis test12087$0
82570Creatinine level to test for kidney function or muscle injury9167$0
82044Urine microalbumin (protein) analysis9167$0
View full utilization report →

Insurance plans in this area (ZIP 75069)

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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: 3779682877View full group profile
NameSpecialtyState
-PA
Family PracticeTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1811983604?
NPI 1811983604 belongs to Unknown Individual; compare other details if you need extra assurance.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is Unknown Individual registered?
Use Mckinney, Texas as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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