Unknown Individual – Physician Assistant, NPI 1720043128

Unknown Individual is a healthcare provider. based in San antonio, Texas. specializing in Physician Assistant. They hold a License No. PA06755 (TX). The NPI Number for Unknown Individual is 1720043128

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1720043128
Phone
(618) 531-2754
Address
13923 PALATINE HL
Deactivation Date
4 December 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 13923 PALATINE HL

    SAN ANTONIO, TX 782537005

    Phone: (618) 531-2754

    Type: Mailing

  • 8507 PRAIRIE MANOR DR

    RICHMOND, TX 774061975

    Phone: (618) 531-2754

    Type: Mailing

  • Center for the Intrepid, 3551, Roger Brooke Drive, San Antonio, Bexar County, Texas, 78234, United States

    959 SSS/DEPT OF SURGERY

    FORT SAM HOUSTON, TX 782344504

    Phone: (210) 916-3097

    Type: Location

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes8076$0
99203New patient office or other outpatient visit, 30-44 minutes3737$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza2828$0
81003Automated urinalysis test1918$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1717$0
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Insurance plans in this area (ZIP 78253)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1720043128.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Physician Assistant. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near San Antonio, Texas may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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