Unknown Individual – Emergency Medicine Physician, NPI 1801830914

Unknown Individual is a healthcare provider. based in Austin, Texas. specializing in Emergency Medicine Physician. They hold a License No. M10172 (ID). The NPI Number for Unknown Individual is 1801830914

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1801830914
Phone
(512) 730-3056
Address
7500 RIALTO BLVD STE 1-140
Deactivation Date
8 April 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Rialto Boulevard, Austin, Travis County, Texas, 78735, United States

    AUSTIN, TX 787358534

    Phone: (512) 730-3056

    Fax: (888) 730-1925

    Type: Mailing

  • Saint Joseph's Regional Medical Center, 415, 6th Street, Lewiston, Nez Perce County, Idaho, 83501, United States

    LEWISTON, ID 835012431

    Phone: (512) 730-3056

    Fax: (888) 730-1925

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Abbott Laboratories ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$25
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 78735)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1801830914 on file in the registry.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Austin?
Unknown Individual currently maps to Austin, Texas in this extract.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.