Unknown Individual – Emergency Medicine Physician, NPI 1245216712

Unknown Individual is a healthcare provider. based in Irving, Texas. specializing in Emergency Medicine Physician. They hold a License No. E4851 (TX). The NPI Number for Unknown Individual is 1245216712

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1245216712
Phone
(972) 259-6900
Address
1901 W IRVING BLVD
Deactivation Date
8 May 2021
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

  • 1901, West Irving Boulevard, Irving, Dallas County, Texas, 75061, United States

    SUITE 100

    IRVING, TX 750616823

    Phone: (972) 259-6900

    Fax: (972) 254-5501

    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 75061)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1245216712 when you need to reference Unknown Individual in forms, claims, or directories.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Texas?
You will see Irving, Texas on file for Unknown Individual alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.