Unknown Individual – Emergency Medicine Physician, NPI 1124042056

Unknown Individual is a healthcare provider. based in Tucson, Arizona. specializing in Emergency Medicine Physician. They hold a License No. 13085 (AZ). The NPI Number for Unknown Individual is 1124042056

Main info

Organization
Inactive
46 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1124042056
Phone
(520) 885-2231
Address
PO BOX 17689
Deactivation Date
8 February 2023

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
5204598915
Graduation Year
1980 (46 years ago)
PAC ID
9537072608
Group Practice PAC ID
2668561457
Professional Enrollment ID
I20031106000314
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

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Provider Addresses for Unknown Individual

  • PO BOX 17689

    TUCSON, AZ 857317689

    Phone: (520) 885-2231

    Fax: (520) 885-2471

    Type: Mailing

  • 300, El Camino Real, Village Meadows, Sierra Vista, Cochise County, Arizona, 85635, United States

    SIERRA VISTA, AZ 856352812

    Phone: (800) 880-0088

    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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 85731)

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Provider's Procedures

Unknown Individual performs procedures in Emergency Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEAZ31500Emergent insertion of breathing tube into windpipe cartilage using an endoscope1212

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668561457View full group profile
NameSpecialtyState
LOUISE NOSANCHUCK (M.D.)
Family PracticeAZ
EVERETT R JR. CASTLE (MD)
-AZ
SCOTT J MEGNA (M.D.)
Emergency MedicineAZ

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1124042056.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Tucson, Arizona. Check all listed addresses for suites or satellite offices.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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