Unknown Individual – Specialist, NPI 1922040658

Unknown Individual is a healthcare provider. based in El paso, Texas. specializing in Specialist. They hold a License No. G7228 (TX). The NPI Number for Unknown Individual is 1922040658

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1922040658
Phone
(915) 771-7200
Address
6065 MONTANA AVE
Deactivation Date
5 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9157745555
Graduation Year
1979 (47 years ago)
PAC ID
5294637005
Group Practice PAC ID
4880951466
Professional Enrollment ID
I20101209000732
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

  • 6065, Montana Avenue, El Paso, El Paso County, Texas, 79925, United States

    SUITE A2

    EL PASO, TX 799251835

    Phone: (915) 771-7200

    Fax: (915) 771-7293

    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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79925)

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Provider's Procedures

Unknown Individual performs procedures in Specialist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINETX92540Observation, testing, and recording of abnormal eye movement4641
INTERNAL MEDICINETX94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration1614
INTERNAL MEDICINETX95004Injection of allergenic extracts into skin, accessed through the skin180324

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: 4880951466View full group profile
NameSpecialtyState
Internal Medicine, Emergency MedicineTX

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1922040658 is assigned to Unknown Individual under the national enumeration system.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Other Service Providers. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Texas?
You will see El Paso, Texas on file for Unknown Individual alongside any extra practice locations.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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