Unknown Individual – Emergency Medicine Physician, NPI 1821061862

Unknown Individual is a healthcare provider. based in Leawood, Kansas. specializing in Emergency Medicine Physician. They hold a License No. R9867 (MO). The NPI Number for Unknown Individual is 1821061862

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1821061862
Phone
(913) 548-0839
Address
2312 W 126TH ST
Deactivation Date
4 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
8167361755
Graduation Year
1979 (47 years ago)
PAC ID
7810888310
Group Practice PAC ID
5991029159
Professional Enrollment ID
I20040323001697
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

  • 2312, West 126th Street, Royse, Leawood, Johnson County, Kansas, 66209, United States

    LEAWOOD, KS 662091353

    Phone: (913) 548-0839

    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 66209)

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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: 5991029159View full group profile
NameSpecialtyState
Physician AssistantKS
Family PracticeCA
Family PracticeMO
-KS
Family PracticeMO
General PracticeNV
Nurse PractitionerMO
Internal Medicine, General PracticeKS
General Practice, Plastic And Reconstructive SurgeryMO
General SurgeryIL

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1821061862; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
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 Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Leawood, Kansas for Unknown Individual; expand the address list for detail.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1821061862. Always confirm identity and privileges with the practice and licensing boards.

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