Unknown Individual – Psychiatry Physician, NPI 1164477584

Unknown Individual is a healthcare provider. based in Manhattan, Kansas. specializing in Psychiatry Physician. They hold a License No. 04-20750 (KS). The NPI Number for Unknown Individual is 1164477584

Main info

Organization
Inactive
63 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1164477584
Phone
(785) 537-9600
Address
1228 WESTLOOP PL # 354
Deactivation Date
17 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7855379600
Graduation Year
1963 (63 years ago)
PAC ID
6901859701
Professional Enrollment ID
I20050221000632
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Westloop Place, Westloop Shopping Center, Manhattan, Riley County, Kansas, 66503, United States

    MANHATTAN, KS 665022840

    Phone: (785) 537-9600

    Fax: (785) 537-9643

    Type: Mailing

  • 2310, Anderson Avenue, Manhattan, Riley County, Kansas, 66502, United States

    MANHATTAN, KS 665022967

    Phone: (785) 537-9600

    Fax: (785) 537-9643

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $144.

Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.

Last reported payment date: 2024-04-03 • Largest payer in this snapshot: ABBVIE INC. ($66).

Total Amount

$144

General + Research + Ownership

Payments

9

Total payment records

General Amount

$144

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-03

Latest reported date

Top Companies

Largest payers in this snapshot

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes9126$0
99214Established patient office or other outpatient visit, 30-39 minutes2514$0
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Insurance plans in this area (ZIP 66502)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1164477584 — is the standard way to identify this listing.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Manhattan, Kansas may find Unknown Individual in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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