Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1184823106

Unknown Individual is a healthcare provider. based in Paducah, Kentucky. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. 44880 (KY). The NPI Number for Unknown Individual is 1184823106

Main info

Organization
Inactive
19 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1184823106
Phone
(270) 575-2244
Address
PO BOX 8317
Deactivation Date
28 February 2024

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
2705752244
Graduation Year
2007 (19 years ago)
PAC ID
4688838535
Group Practice PAC ID
5294636015
Professional Enrollment ID
I20120606000105
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • PO BOX 8317

    PADUCAH, KY 420028317

    Phone: (270) 575-2244

    Fax: (270) 415-7130

    Type: Mailing

  • 1530 Lone Oak Rd

    Paducah, KY 420037901

    Phone: (270) 575-2244

    Fax: (270) 415-7130

    Type: Location

  • Baptist Health Paducah, 2501, Kentucky Avenue, Paducah, McCracken County, Kentucky, 42003, United States

    PADUCAH, KY 42003

    Phone: (270) 575-2712

    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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity5834$0
88342Special stained specimen slides to examine tissue, initial procedure1615$0
View full utilization report →

Insurance plans in this area (ZIP 42002)

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Provider's Procedures

Unknown Individual performs procedures in Anatomic Pathology & Clinical Pathology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYKY88342Tissue or cell analysis by immunologic technique6766

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: 5294636015View full group profile
NameSpecialtyState
P A T H O L O G YKY
P A T H O L O G YKY
P A T H O L O G YKY
P A T H O L O G YKY
P A T H O L O G YKY
-KY

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1184823106.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Anatomic Pathology & Clinical Pathology Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Paducah, Kentucky as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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