Unknown Individual – Pediatrics Physician, NPI 1922081587

Unknown Individual is a healthcare provider. based in Longview, Texas. specializing in Pediatrics Physician. They hold a License No. P5017 (TX). The NPI Number for Unknown Individual is 1922081587

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1922081587
Phone
(903) 315-1488
Address
PO BOX 4207
Deactivation Date
1 June 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

Loading map...

Provider Addresses for Unknown Individual

  • Longview Post Office, Hillside Road, Longview Shops, Page Moss, Huyton, Liverpool, Liverpool City Region, England, L36 8BJ, United Kingdom

    LONGVIEW, TX 756064207

    Phone: (903) 315-1488

    Fax: (903) 315-1656

    Type: Mailing

  • CHRISTUS Good Shepherd Medical Center, 700, East Marshall Avenue, Longview, Gregg County, Texas, 75601, United States

    LONGVIEW, TX 756015580

    Phone: (903) 315-1488

    Fax: (903) 315-1656

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 75606)

Loading plans...

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

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1922081587 as the unique 10-digit identifier.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Longview, Texas as the reference point for Unknown Individual, then confirm.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.