Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1235458696

Unknown Individual is a healthcare provider. based in Little rock, Arkansas. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. 927575846 (AR). The NPI Number for Unknown Individual is 1235458696

Main info

Organization
Inactive
16 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1235458696
Phone
(501) 960-9060
Address
6912 STAGECOACH RD
Deactivation Date
21 June 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
4794420144
Graduation Year
2010 (16 years ago)
PAC ID
9032434790
Group Practice PAC ID
8729013495
Professional Enrollment ID
I20160708001643
Data current as of
20 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

  • 6912 STAGECOACH RD

    LITTLE ROCK, AR 722048759

    Phone: (501) 960-9060

    Type: Mailing

  • 4301 W MARKHAM ST

    LITTLE ROCK, AR 722057101

    Phone: (501) 686-7000

    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
88305Pathology examination of tissue using a microscope, intermediate complexity226116$0
88341Special stained specimen slides to examine tissue, each additional procedure8824$0
88342Special stained specimen slides to examine tissue, initial procedure3426$0
88307Pathology examination of tissue using a microscope, moderately high complexity1914$0
View full utilization report →

Insurance plans in this area (ZIP 72204)

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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: 8729013495View full group profile
NameSpecialtyState
P A T H O L O G YAR
P A T H O L O G YAR
P A T H O L O G YAR
P A T H O L O G YAR
Hematology, PathologyAR
P A T H O L O G YAR
P A T H O L O G YAR
P A T H O L O G YAR
P A T H O L O G YAR
P A T H O L O G YAR

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1235458696 for Unknown Individual.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Anatomic Pathology & Clinical Pathology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Little Rock, Arkansas. Check all listed addresses for suites or satellite offices.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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