Unknown Individual – Pediatric Gastroenterology Physician, NPI 1245299106

Unknown Individual is a healthcare provider. based in Dallas, Texas. specializing in Pediatric Gastroenterology Physician. They hold a License No. H4148 (TX). The NPI Number for Unknown Individual is 1245299106

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1245299106
Phone
(214) 689-5960
Address
7610 N STEMMONS FWY STE 600
Deactivation Date
9 October 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

  • North Stemmons Freeway, West End Historic District, Design District, Dallas, TX, Dallas, Dallas County, Texas, 75115, United States

    DALLAS, TX 752474228

    Phone: (214) 689-5960

    Fax: (469) 713-8084

    Type: Mailing

  • West Parker Road, Plano, Collin County, Texas, 75074, United States

    SUITE 428

    PLANO, TX 750938100

    Phone: (972) 394-5757

    Fax: (972) 394-9577

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 43 Open Payments records for all available years, with a total value of $1,340.

Total Amount is formed as General ($1,340) + Research ($0) + Ownership ($0) = $1,340.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($877).

Total Amount

$1,340

General + Research + Ownership

Payments

43

Total payment records

General Amount

$1,340

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

2

Ownership records

Last Payment Date

2024-12-09

Latest reported date

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 75247)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1245299106 in the public NPI dataset.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Pediatric Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Dallas, Texas in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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