Unknown Individual – Critical Care Medicine (Internal Medicine) Physician, NPI 1336186071

Unknown Individual is a healthcare provider. based in Garden city, Kansas. specializing in Critical Care Medicine (Internal Medicine) Physician. They hold a License No. 2004000957 (MO). The NPI Number for Unknown Individual is 1336186071

Main info

Organization
Inactive
32 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1336186071
Phone
(620) 275-3740
Address
311 E Spruce St Ste 3B
Deactivation Date
17 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2604346076
Graduation Year
1994 (32 years ago)
PAC ID
1052215795
Group Practice PAC ID
4981751617
Professional Enrollment ID
I20200429001148
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

  • 311 E Spruce St Ste 3B

    Garden City, KS 678465685

    Phone: (620) 275-3740

    Fax: (620) 275-3761

    Type: Location

  • Bronson Methodist Hospital, 601, John Street, Kalamazoo, Kalamazoo County, Michigan, 49007, United States

    SUITE M452

    KALAMAZOO, MI 490075341

    Phone: (269) 341-6022

    Fax: (269) 341-8244

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Philips North America LLC ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4523$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 67846)

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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: 4981751617View full group profile
NameSpecialtyState
Infectious DiseaseIN
-IN
Family PracticeIN
Nurse PractitionerIN
U R O L O G YMI
Internal MedicineIN
-IN
Nurse PractitionerIN
Cardiovascular Disease (Cardiology)IN
Family PracticeIN

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1336186071.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Critical Care Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Garden City?
Public fields place Unknown Individual around Garden City, Kansas. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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