Unknown Individual – Specialist, NPI 1508890989

Unknown Individual is a healthcare provider. based in Helena, Arkansas. specializing in Specialist. They hold a License No. E3725 (AR). The NPI Number for Unknown Individual is 1508890989

Main info

Organization
Inactive
27 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1508890989
Phone
(870) 572-5996
Address
101 SHIRLEY HICKS DR
Deactivation Date
27 March 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
8705725996
Graduation Year
1999 (27 years ago)
PAC ID
7810899952
Group Practice PAC ID
7517958630
Professional Enrollment ID
I20040121000303
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

Provider Addresses for Unknown Individual

  • 101 SHIRLEY HICKS DR

    HELENA, AR 723428852

    Phone: (870) 572-5996

    Fax: (870) 572-4471

    Mailing address matches the actual address.

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
83036Hemoglobin a1c level1913$0
82962Blood glucose (sugar) test performed by hand-held instrument1612$0
View full utilization report →

Insurance plans in this area (ZIP 72342)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Specialist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEAR85610Blood test, clotting time2712

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: 7517958630View full group profile
NameSpecialtyState
-AR
Family PracticeAR
Nurse PractitionerAR
Internal Medicine, Pediatric MedicineAR

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

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1508890989.
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 type of care does Unknown Individual provide?
Unknown Individual's profile centers on Other Service Providers. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Helena, Arkansas in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

124 HIGHWAY 201 N
NPI: 1760485833
5 MEDICAL PARK PLACE
NPI: 1720081607
444, County Road 483, Fawn Park, Mountain Home, Baxter County, Arkansas, 72653, United States
NPI: 1447253273
Saint Vincent Circle, University Park, Little Rock, Pulaski County, Arkansas, 72205, United States
NPI: 1619970027

Unknown Individual

Otolaryngology Physician
PO BOX 2429
NPI: 1265435697
Doctors Building, 500, South University Avenue, University Park, Oak Forest, Little Rock, Pulaski County, Arkansas, 72205, United States
NPI: 1083618318

DR. STEPHANIE J CARPINO (MD)

Obstetrics & Gynecology Physician
East 39th Street South, Independence, Jackson County, Missouri, 64015, United States
NPI: 1295737559