Unknown Individual – Pain Medicine (Anesthesiology) Physician, NPI 1184737033

Unknown Individual is a healthcare provider. based in Leawood, Kansas. specializing in Pain Medicine (Anesthesiology) Physician. They hold a License No. R05P39 (MO). The NPI Number for Unknown Individual is 1184737033

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1184737033
Phone
(913) 647-4101
Address
10310 STATE LINE RD STE A
Deactivation Date
19 December 2024

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
8169433926
Graduation Year
1987 (39 years ago)
PAC ID
6709891070
Group Practice PAC ID
9830288596
Professional Enrollment ID
I20060208000577
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

  • 10310 STATE LINE RD STE A

    LEAWOOD, KS 662062695

    Phone: (913) 647-4101

    Fax: (913) 647-4121

    Type: Mailing

  • Saint Joseph Medical Center, 1000, Carondelet Drive, Dallas, Kansas City, Jackson County, Missouri, 64114, United States

    KANSAS CITY, MO 641144673

    Phone: (913) 647-4101

    Fax: (913) 647-4121

    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
99214Established patient office or other outpatient visit, 30-39 minutes24169$0
62323Injection of substance into lower spine canal using imaging guidance5537$0
99213Established patient office or other outpatient visit, 20-29 minutes4231$0
99204New patient office or other outpatient visit, 45-59 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 66206)

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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: 9830288596View full group profile
NameSpecialtyState
Anesthesiology, Pain ManagementMO
Certified Clinical Nurse Specialist (Cns)MO
Anesthesiology, Interventional Pain ManagementMO

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1184737033 if you need a stable reference for Unknown Individual.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Leawood, Kansas for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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