Unknown Individual – Medical Oncology Physician, NPI 1114969219

Unknown Individual is a healthcare provider. based in Dallas, Texas. specializing in Medical Oncology Physician. They hold a License No. F4804 (TX). The NPI Number for Unknown Individual is 1114969219

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1114969219
Phone
(972) 997-8000
Address
PO BOX 911230
Deactivation Date
5 March 2026
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 753911230

    Phone: (972) 997-8000

    Fax: (972) 437-9605

    Type: Mailing

  • 801, Road To Six Flags West, Arlington, Tarrant County, Texas, 76012, United States

    SUITE 105

    ARLINGTON, TX 760122616

    Phone: (817) 274-6532

    Fax: (817) 548-8744

    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 75391)

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Provider's Procedures

Unknown Individual performs procedures in Medical Oncology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
MEDICAL ONCOLOGYTX74177CT scan of abdomen and pelvis with contrast3431
MEDICAL ONCOLOGYTX85610Blood test, clotting time48731
MEDICAL ONCOLOGYTX96367Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour13132
MEDICAL ONCOLOGYTX96375Injection of different drug or substance into a vein for therapy, diagnosis, or prevention44353
MEDICAL ONCOLOGYTX96415Infusion of chemotherapy into a vein13623

Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1114969219.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Medical Oncology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Dallas, Texas in the same public data insurers reference.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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