Unknown Individual – Neurology Physician, NPI 1780622480

Unknown Individual is a healthcare provider. based in Topeka, Kansas. specializing in NEUROLOGY. They hold a License No. ME87511 (FL). The NPI Number for Unknown Individual is 1780622480

Main info

Organization
Inactive
30 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1780622480
Phone
(785) 354-5242
Address
1500 SW 10th Ave
Deactivation Date
23 April 2026

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3869175000
Graduation Year
1996 (30 years ago)
PAC ID
8426143348
Group Practice PAC ID
7012266836
Professional Enrollment ID
I20071005000708
Address ID
FL327638468OR1055XBLVD300
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

208 NEUROLOGY in KS

Provider Addresses for Unknown Individual

  • 1500 SW 10th Ave

    Topeka, KS 666041301

    Phone: (785) 354-5242

    Type: Location

  • Stuart, Martin County, Florida, United States

    STUART, FL 349950417

    Phone: (772) 223-5665

    Fax: (772) 223-5646

    Type: Mailing

  • Martin Medical Center, 200, Southeast Hospital Avenue, Stuart, Martin County, Florida, 34995, United States

    STUART, FL 349942346

    Phone: (772) 223-5618

    Fax: (772) 223-5646

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $504.

Total Amount is formed as General ($504) + Research ($0) + Ownership ($0) = $504.

Last reported payment date: 2023-12-25 • Largest payer in this snapshot: Medtronic, Inc. ($143).

Total Amount

$504

General + Research + Ownership

Payments

4

Total payment records

General Amount

$504

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-25

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.

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071005000708INeurologyFLTBD
I20171024003594INeurologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 minutes412285$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes262257$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes160145$0
View full utilization report →

Insurance plans in this area (ZIP 66604)

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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: 7012266836View full group profile
NameSpecialtyState
-FL
U R O L O G YFL
G A S T R O E N T E R O L O G YFL
Thoracic SurgeryFL
Nurse PractitionerGA
Internal MedicineNY
General SurgeryFL
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineFL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)FL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1780622480 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Neurology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Topeka, Kansas?
For routing, start with Topeka, 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.

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