Unknown Individual – Surgery Physician, NPI 1265480164

Unknown Individual is a healthcare provider. based in Hardinsburg, Kentucky. specializing in Surgery Physician. They hold a License No. 32091 (KY). The NPI Number for Unknown Individual is 1265480164

Main info

Organization
Inactive
37 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1265480164
Phone
(270) 756-7000
Address
1011 OLD HIGHWAY 60
Deactivation Date
4 January 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
2707567000
Graduation Year
1989 (37 years ago)
PAC ID
3072559855
Group Practice PAC ID
0941106454
Professional Enrollment ID
I20050701000253
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

Provider Addresses for Unknown Individual

  • 1011 OLD HIGHWAY 60

    HARDINSBURG, KY 401432519

    Phone: (270) 756-7000

    Fax: (270) 756-6510

    Type: Mailing

  • 607 OLD HIGHWAY 60

    HARDINSBURG, KY 40143

    Phone: (270) 580-2256

    Fax: (270) 580-2251

    Type: Location

  • 607 Old Highway 60

    Hardinsburg, KY 40143

    Phone: (270) 580-2256

    Fax: (270) 580-2251

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Astellas Pharma US Inc ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Astellas Pharma US Inc$23
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.

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 40143)

Loading plans...

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: 0941106454View full group profile
NameSpecialtyState
Nurse PractitionerKY
-KY
Nurse PractitionerKY
-KY
Family Practice, Emergency MedicineKY
Nurse PractitionerKY
Nurse PractitionerKY
-KY
Family PracticeKY
Nurse PractitionerKY

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1265480164 in the public NPI dataset.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Hardinsburg, Kentucky; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

Burkesville Road, Albany, Clinton County, Kentucky, 42602, United States of America
NPI: 1699778423
Twin Lakes Regional Medical Center, 910, Wallace Avenue, Leitchfield, Grayson County, Kentucky, 42754, United States
NPI: 1538162268

TODD Y. CHADWELL (MD)

Surgery Physician
Surgical Specialists, 1700, Ring Road, Indian Hills, Elizabethtown, Hardin County, Kentucky, 42701, United States
NPI: 1225031941
Gardiner Lane, Louisville, Jefferson County, Kentucky, 40205, United States
NPI: 1588668818
Churchman Avenue, Louisville, Jefferson County, Kentucky, 40215, United States
NPI: 1124020300
800, East Liberty Street, Louisville, Jefferson County, Kentucky, 40204, United States
NPI: 1164424321

DR. JOHN N OLSOFKA (M.D.)

Surgery Physician
Jewish Hospital Medical Plaza, 100, East Liberty Street, Louisville, Jefferson County, Kentucky, 40202, United States
NPI: 1013919273
800, East Liberty Street, Louisville, Jefferson County, Kentucky, 40204, United States
NPI: 1508868753
Gardiner Lane, Louisville, Jefferson County, Kentucky, 40205, United States
NPI: 1467454637