Unknown Individual – Dermatology Physician, NPI 1275588964

Unknown Individual is a healthcare provider. based in Amarillo, Texas. specializing in Dermatology Physician. They hold a License No. D2215 (TX). The NPI Number for Unknown Individual is 1275588964

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1275588964
Phone
(806) 355-7421
Address
1901 MEDI-PARK
Deactivation Date
30 April 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

Loading map...

Provider Addresses for Unknown Individual

  • Medi-Park, 1901, Amarillo, Potter County, Texas, 79106, United States

    SUITE 6

    AMARILLO, TX 791062105

    Phone: (806) 355-7421

    Fax: (806) 358-2381

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2023-05-10 • Largest payer in this snapshot: Inari Medical, Inc. ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, Inc.$27
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 79106)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Dermatology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYTX17003Destruction of 2-14 skin growths5922798
DERMATOLOGYTX77427Radiation treatment management, 5 treatments533416

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1275588964.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Dermatology Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Amarillo, Texas; more addresses can appear in NPPES.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

Unknown Individual

Dermatology Physician
Wallace Boulevard, Amarillo, Potter County, Texas, 79120, United States
NPI: 1710980057

EDWARD MICHAEL MCCARTHY (MD)

Dermatology Physician
4512, Van Winkle Drive, Sleepy Hollow, Amarillo, Randall County, Texas, 79119, United States
NPI: 1902803976

REBECCA A. MCCARTHY (MD)

Dermatology Physician
Van Winkle Drive, Sleepy Hollow, Amarillo, Randall County, Texas, 79121, United States
NPI: 1770581464

AMARILLO DERMATOLOGY, P.A.

Dermatology Physician
4512, Van Winkle Drive, Sleepy Hollow, Amarillo, Randall County, Texas, 79119, United States
NPI: 1619976685
LEAVENWORTH VAMC
NPI: 1164489282

SCOTT D MILLER (MD)

Dermatology Physician
Wolflin Avenue, Amarillo, Potter County, Texas, 79102, United States
NPI: 1790722916

ARCHER DERMATOLOGY

Dermatology Physician
Flor Amarillo, Parroquia Capital Guanarito, Municipio Guanarito, Portuguesa State, Venezuela
NPI: 1740226687

EVELYN ARCHER MDPA

Dermatology Physician
1900, Coulter Street, Amarillo, Potter County, Texas, 79106, United States
NPI: 1265441513

DR. JAMES KEITH YEARY (MD)

Dermatology Physician
Thomas E. Creek VA Medical Center, 6010, West Amarillo Boulevard, Amarillo, Potter County, Texas, 79106, United States
NPI: 1609965862