Unknown Individual – Otolaryngology Physician, NPI 1275508764

Unknown Individual is a healthcare provider. based in Beaumont, Texas. specializing in Otolaryngology Physician. They hold a License No. E4039 (TX). The NPI Number for Unknown Individual is 1275508764

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1275508764
Phone
(409) 212-8111
Address
740 HOSPITAL DR
Deactivation Date
18 December 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

  • 740, Hospital Drive, Beaumont, Jefferson County, Texas, 77701, United States

    SUITE 300

    BEAUMONT, TX 777014664

    Phone: (409) 212-8111

    Fax: (409) 981-1787

    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 77701)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1275508764 as the unique 10-digit identifier.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Beaumont?
Public fields place Unknown Individual around Beaumont, Texas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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