Unknown Individual – Internal Medicine Physician, NPI 1578564969

Internal Medicine Physician

Unknown Individual is a healthcare provider. based in Beaumont, Texas. specializing in Internal Medicine Physician. They hold a License No. G9255 (TX). The NPI Number for Unknown Individual is 1578564969

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1578564969

Phone

(409) 833-2929

Address

2929 CALDER ST

Deactivation Date

31 January 2022

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

Provider Addresses for Unknown Individual

2929 CALDER ST
STE 308
BEAUMONT, TX 777021845
Phone: (409) 833-2929
Fax: (409) 839-8355
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 77702)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?

Public records show Unknown Individual under NPI 1578564969.

What should I verify if Unknown Individual is listed inactive?

If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.

Can patients visit Unknown Individual in Beaumont, Texas?

For routing, start with Beaumont, Texas for Unknown Individual, then verify phone and hours locally.

Can I export Unknown Individual's record?

You can download the official NPPES record; we summarize key fields for readability.