Unknown Individual – Neurology Physician, NPI 1639177884

Unknown Individual is a healthcare provider. based in Louisville, Kentucky. specializing in Neurology Physician. They hold a License No. 33068 (KY). The NPI Number for Unknown Individual is 1639177884

Main info

Organization
Inactive
30 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1639177884
Phone
(502) 589-0802
Address
401 E CHESTNUT ST
Deactivation Date
14 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
8921016908
Group Practice PAC ID
3476725599
Professional Enrollment ID
I20100813000700
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • UofL Physicians Outpatient Center, 401, East Chestnut Street, Louisville, Jefferson County, Kentucky, 40202, United States

    SUITE 510

    LOUISVILLE, KY 402025700

    Phone: (502) 589-0802

    Fax: (502) 589-0805

    Type: Mailing

  • 900 Hospital Dr

    Madisonville, KY 424311644

    Phone: (270) 825-5106

    Type: Location

  • 520 S 7th St

    Vincennes, IN 475911038

    Phone: (812) 882-5220

    Fax: (812) 885-3737

    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
99291Critical care, first 30-74 minutes6742$0
99215Established patient office or other outpatient visit, 40-54 minutes2621$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1818$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1513$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1313$0
View full utilization report →

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 standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1639177884.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
How should patients interpret Unknown Individual's specialty?
The extract shows Neurology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Louisville, Kentucky?
If you are local to Louisville, Kentucky, Unknown Individual may be relevant to your search.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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