Unknown Individual – Otolaryngology Physician, NPI 1962406801

Unknown Individual is a healthcare provider. based in Houston, Texas. specializing in Otolaryngology Physician. They hold a License No. H7296 (TX). The NPI Number for Unknown Individual is 1962406801

Main info

Organization
Inactive
38 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1962406801
Phone
(713) 798-5900
Address
6550 FANNIN ST
Deactivation Date
5 July 2023

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
7138732000
Graduation Year
1988 (38 years ago)
PAC ID
4880875830
Group Practice PAC ID
8224941265
Professional Enrollment ID
I20110223000770
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

  • Houston Methodist - Smith Tower, 6550, Fannin Street, Texas Medical Center, Houston, Harris County, Texas, 77030, United States

    HOUSTON, TX 770302717

    Phone: (713) 798-5900

    Fax: (713) 798-5294

    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 77030)

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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: 8224941265View full group profile
NameSpecialtyState
Internal MedicineTX
Gastroenterology, Internal MedicineTX
Internal Medicine, HospitalistIN
Hospitalist, Internal MedicineTX
Diagnostic RadiologyVA
-TX
Family PracticeTX
Internal Medicine, Pediatric MedicineTX
Psychiatry, Geriatric PsychiatryTX
-TX

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1962406801 for Unknown Individual.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Otolaryngology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Houston, Texas in the same public data insurers reference.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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