Unknown Individual – Adult Reconstructive Orthopaedic Surgery Physician, NPI 1952342040

Unknown Individual is a healthcare provider. based in Fort worth, Texas. specializing in Adult Reconstructive Orthopaedic Surgery Physician. They hold a License No. K0396 (TX). The NPI Number for Unknown Individual is 1952342040

Main info

Organization
Inactive
31 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1952342040
Phone
(817) 877-3432
Address
6301 HARRIS PKWY STE 300
Deactivation Date
9 October 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
2145702319
Graduation Year
1995 (31 years ago)
PAC ID
8729122080
Group Practice PAC ID
4385535954
Professional Enrollment ID
I20100428000931
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

  • Harris Parkway, Fort Worth, Tarrant County, Texas, 76132, United States

    FORT WORTH, TX 761324245

    Phone: (817) 877-3432

    Fax: (817) 346-4394

    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 14 Open Payments records for all available years, with a total value of $129,547.

Total Amount is formed as General ($129,547) + Research ($0) + Ownership ($0) = $129,547.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Smith+Nephew, Inc. ($129,522).

Total Amount

$129,547

General + Research + Ownership

Payments

14

Total payment records

General Amount

$129,547

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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
73562X-ray of knee, 3 views2015$0
99203New patient office or other outpatient visit, 30-44 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 76132)

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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: 4385535954View full group profile
NameSpecialtyState
Internal MedicineTX
Vascular SurgeryPA
Internal MedicineTX
-TX
-TX
-TX
-TX
-TX
Cardiovascular Disease (Cardiology), Internal MedicineTX
Family PracticeTX

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1952342040 if you need a stable reference for Unknown Individual.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Adult Reconstructive Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Fort Worth, Texas for Unknown Individual; download NPPES for the complete set.
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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