Unknown Individual – Surgery Physician, NPI 1952585598

Unknown Individual is a healthcare provider. based in Liberal, Kansas. specializing in Surgery Physician. They hold a License No. 45244 (AZ). The NPI Number for Unknown Individual is 1952585598

Main info

Organization
Inactive
31 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1952585598
Phone
(620) 629-6638
Address
PO BOX 1215
Deactivation Date
22 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6206240723
Graduation Year
1995 (31 years ago)
PAC ID
6002003498
Group Practice PAC ID
7517941651
Professional Enrollment ID
I20200204001532
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • PO BOX 1215

    LIBERAL, KS 679051215

    Phone: (620) 629-6638

    Fax: (620) 629-6684

    Type: Mailing

  • North 27th Avenue, Phoenix, Maricopa County, Arizona, United States

    PHOENIX, AZ 850171764

    Phone: (602) 841-8273

    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.

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

Insurance plans in this area (ZIP 67905)

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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: 7517941651View full group profile
NameSpecialtyState
REYNA SILVIA AGUILAR-MARTINEZ (APRN)
Nurse PractitionerKS
DR. JOSE A. MAEDA (MD)
General SurgeryKS
VICTORIA RACHEL UNDERWOOD (ARNP)
Nurse PractitionerKS
LUIS FELIPE CAMACHO
Nurse PractitionerKS
FIRAS I. KAWTHARANI (M.D.)
Orthopedic SurgeryKS
MR. TIMOTHY BRANNON (CRNA)
Certified Registered Nurse Anesthetist (Crna)MO
MRS. CAMBER DEAN CLINE (APRN-CNP)
Nurse PractitionerOK
LOHITHA KOLLI (MD)
Diagnostic RadiologyANDHRA PRADESH
REYNA SILVIA DIAZ-AGUILAR (APRN)
Nurse PractitionerKS
DR. VINCENT JAMES PAUL (M.D.)
Diagnostic RadiologyCA

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1952585598.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Surgery Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Liberal, Kansas. Check all listed addresses for suites or satellite offices.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.