Unknown Individual – Pain Medicine (Anesthesiology) Physician, NPI 1558329631

Pain Medicine (Anesthesiology) Physician

Unknown Individual is a healthcare provider. based in Junction city, Kansas. specializing in Pain Medicine (Anesthesiology) Physician. They hold a License No. 4301095882 (MI). The NPI Number for Unknown Individual is 1558329631

Main info

Organization

Inactive

42 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1558329631

Phone

(785) 530-5505

Address

715 SOUTHWIND DR

Deactivation Date

30 April 2021

Doctor Profile

Medical School Name

UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)

Secondary Phone

Graduation Year

1984 (42 years ago)

PAC ID

4082504766

Professional Enrollment ID

I20080814000699

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience45

Completeness75

Years active:0State licenses:9Digital endpointsOther names

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Provider Addresses for Unknown Individual

715, Southwind Drive, Junction City, Geary County, Kansas, 66441, United States
JUNCTION CITY, KS 664419021
Phone: (785) 530-5505
Fax: (785) 306-8855
Mailing address matches the actual address.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66441)

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Provider's Procedures

Unknown Individual performs procedures in Pain Medicine (Anesthesiology) Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
PAIN MANAGEMENT	KS	62311	Injections of substances into lower or sacral spine	230	94
PAIN MANAGEMENT	KS	64493	Injections of lower or sacral spine facet joint using imaging guidance	60	38

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?

In the U.S., Unknown Individual is identified by NPI 1558329631.

What should I verify if Unknown Individual is listed inactive?

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 Pain Medicine (Anesthesiology) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.

Can patients visit Unknown Individual in Junction City, Kansas?

For routing, start with Junction City, Kansas for Unknown Individual, then verify phone and hours locally.

Why is information missing for Unknown Individual?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.