Unknown Individual – Anesthesiology Physician, NPI 1063443828

Unknown Individual is a healthcare provider. based in Edinburg, Texas. specializing in Anesthesiology Physician. They hold a License No. K1611 (TX). The NPI Number for Unknown Individual is 1063443828

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063443828
Phone
(956) 668-0060
Address
2402 CORNERSTONE BLVD
Deactivation Date
19 March 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Cornerstone Boulevard, Borderland Retreat Colonia, Edinburg, Hidalgo County, Texas, 78504, United States

    EDINBURG, TX 785398462

    Phone: (956) 668-0060

    Fax: (956) 668-0070

    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 2 Open Payments records for all available years, with a total value of $112.

Total Amount is formed as General ($112) + Research ($0) + Ownership ($0) = $112.

Last reported payment date: 2024-03-07 • Largest payer in this snapshot: OMNIlife science, Inc ($98).

Total Amount

$112

General + Research + Ownership

Payments

2

Total payment records

General Amount

$112

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-07

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.

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

Insurance plans in this area (ZIP 78539)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1063443828.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Anesthesiology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Edinburg, Texas for Unknown Individual; download NPPES for the complete set.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1063443828. Always confirm identity and privileges with the practice and licensing boards.

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