Unknown Individual – Maternal & Fetal Medicine Physician, NPI 1508850041

Unknown Individual is a healthcare provider. based in Louisville, Kentucky. specializing in Maternal & Fetal Medicine Physician. They hold a License No. MD60613390 (WA). The NPI Number for Unknown Individual is 1508850041

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1508850041
Phone
(502) 583-3687
Address
401 E CHESTNUT ST UNIT 410
Deactivation Date
17 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5022715999
Graduation Year
1979 (47 years ago)
PAC ID
8426010844
Group Practice PAC ID
3476725599
Professional Enrollment ID
I20191003001229
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:0State licenses:5Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 401 E CHESTNUT ST UNIT 410

    LOUISVILLE, KY 40202

    Phone: (502) 583-3687

    Type: Location

  • PO BOX 909

    LOUISVILLE, KY 402010909

    Phone: (502) 583-3687

    Type: Mailing

  • 801 E Nolana Ave

    Ste 6

    McAllen, TX 785046104

    Phone: (316) 706-9113

    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 40202)

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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: 3476725599View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Diagnostic RadiologyVA
Diagnostic RadiologyKY
-KY
-KY
Certified Registered Nurse Anesthetist (Crna)TN
O P H T H A L M O L O G YKY
Certified Registered Nurse Anesthetist (Crna)KY

Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1508850041 — is the standard way to identify this listing.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Maternal & Fetal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Louisville, Kentucky may find Unknown Individual in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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