Unknown Individual – Pediatrics Physician, NPI 1659384055

Unknown Individual is a healthcare provider. based in San antonio, Texas. specializing in Pediatrics Physician. They hold a License No. 31028 (TN). The NPI Number for Unknown Individual is 1659384055

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1659384055
Phone
(843) 696-1738
Address
10010 Rogers Xing
Deactivation Date
21 February 2024
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

  • 10010 Rogers Xing

    San Antonio, TX 782514673

    Phone: (843) 696-1738

    Type: Location

  • 576 JEFFERSON AVE

    FORT EUSTIS, VA 236041373

    Phone: (757) 914-6000

    Type: Mailing

  • 10010, Rogers Crossing, Westover Hills, San Antonio, Bexar County, Texas, 78251, United States

    SAN ANTONIO, TX 782514673

    Phone: (843) 696-1738

    Type: Mailing

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.

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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 78251)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1659384055; it appears in the national provider directory.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Pediatrics Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface San Antonio, Texas for Unknown Individual based on available NPPES addresses.
What if San Antonio, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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Unknown Individual

Pediatrics Physician
13750 SAN PEDRO AVE
NPI: 1336143692