Unknown Individual – Family Medicine Physician, NPI 1164419537

Unknown Individual is a healthcare provider. based in Desoto, Texas. specializing in Family Medicine Physician. They hold a License No. L9636 (TX). The NPI Number for Unknown Individual is 1164419537

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1164419537
Phone
(972) 224-9090
Address
2805 PRINCE GEORGE AVE
Deactivation Date
3 April 2025
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

  • Epiphany Dermatology, 2805, Prince George Avenue, DeSoto, Dallas County, Texas, 75115, United States

    DESOTO, TX 751152047

    Phone: (972) 224-9090

    Fax: (972) 224-9098

    Type: Mailing

  • 2805 Prince George Ave

    Desoto, TX 751152047

    Phone: (972) 224-9090

    Fax: (972) 224-9098

    Type: Location

  • 7505 Glenview Dr Ste 151

    Richland Hills, TX 761808335

    Phone: (817) 284-9922

    Fax: (817) 284-9926

    Type: Location

  • 1251 E Red Bird Ln Ste A

    Dallas, TX 752412008

    Phone: (214) 377-0608

    Fax: (214) 432-1426

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $220.

Total Amount is formed as General ($220) + Research ($0) + Ownership ($0) = $220.

Last reported payment date: 2024-02-22 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($128).

Total Amount

$220

General + Research + Ownership

Payments

6

Total payment records

General Amount

$220

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-22

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes10815$0
99214Established patient office or other outpatient visit, 30-39 minutes3217$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2216$0
99238Hospital discharge day management, 30 minutes or less1813$0
G0442Annual alcohol misuse screening, 5 to 15 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 75115)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1164419537.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Desoto?
Public fields place Unknown Individual around Desoto, Texas. Always confirm the exact site before visiting.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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