Unknown Individual – Internal Medicine Physician, NPI 1841239688

Unknown Individual is a healthcare provider. based in Dallas, Texas. specializing in Internal Medicine Physician. They hold a License No. E2946 (TX). The NPI Number for Unknown Individual is 1841239688

Main info

Organization
Inactive
52 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1841239688
Phone
Not provided
Address
PO BOX 848491
Deactivation Date
9 October 2025

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
2542027700
Graduation Year
1974 (52 years ago)
PAC ID
3476747866
Group Practice PAC ID
1153304456
Professional Enrollment ID
I20101029000647
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

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752848491

    Phone:

    Type: Mailing

  • Macarthur Drive, Waco, McLennan County, Texas, 76708, United States

    WACO, TX 767083160

    Phone: (254) 202-7700

    Fax: (254) 202-7710

    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 75284)

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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: 1153304456View full group profile
NameSpecialtyState
Internal MedicineTX
Family PracticeTX
Nurse PractitionerTX
Hospitalist, Internal MedicineAL
Family Practice, HospitalistTX
-TX
Family PracticeTX
Internal MedicineTX
Orthopedic SurgeryTX
Physician AssistantTX

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1841239688; it appears in the national provider directory.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Dallas, Texas for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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