Unknown Individual – Family Medicine Physician, NPI 1225487820

Unknown Individual is a healthcare provider. based in Kansas city, Missouri. specializing in Family Medicine Physician. They hold a License No. 2016017994 (MO). The NPI Number for Unknown Individual is 1225487820

Main info

Organization
Inactive
10 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1225487820
Phone
(816) 276-7600
Address
6675 HOLMES RD
Deactivation Date
23 August 2021

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Secondary Phone
9138143788
Graduation Year
2016 (10 years ago)
PAC ID
9638465974
Group Practice PAC ID
8527340702
Professional Enrollment ID
I20191112002314
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • Holmes Road, Oak Meyer Gardens, Kansas City, Jackson County, Missouri, 64131, United States

    SUITE 360

    KANSAS CITY, MO 641311150

    Phone: (816) 276-7600

    Fax: (816) 276-7992

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 64131)

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: 8527340702View full group profile
NameSpecialtyState
Nurse PractitionerMO
-MO
Family PracticeKS
Family PracticeKS
Nurse PractitionerKS
Nurse PractitionerMO
Nurse PractitionerMO
-MO
Family PracticeMO
-KS

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

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1225487820.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Kansas City, Missouri 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.

Similar Providers

DR. DARREN E KILLEN (MD)

Family Medicine Physician
Wornall Road, Dallas, Kansas City, Jackson County, Missouri, 64131, United States of America
NPI: 1114920295

DR. KAREN ANN BEATHAM (D.O.)

Family Medicine Physician
Southeast 3rd Street, Lee's Summit, Jackson County, Missouri, 640636, United States
NPI: 1538162037

DOUGLAS B KNOX (M.D.)

Family Medicine Physician
1010 Carondelet Dr
NPI: 1043212293

DR. JOSEPH CHARLES RAKESTRAW (D.O.)

Family Medicine Physician
1500 SOUTHWEST BLVD STE D
NPI: 1922002864

DR. ROBERT LEE JR. ROBBINS (D.O.)

Family Medicine Physician
Jack in the Box, South 18th Street, Kansas City, Wyandotte County, Kansas, 66102, United States
NPI: 1467456392

DR. KARLADINE E GRAVES (D.O.)

Family Medicine Physician
6130, North Mattox Road, Kansas City, Platte County, Missouri, 64151, United States
NPI: 1215931647

DR. WAYNE D. GRAVES (D.O.)

Family Medicine Physician
6130, North Mattox Road, Kansas City, Platte County, Missouri, 64151, United States
NPI: 1679577001

CHAROLETTE ANN ENDSLEY (M.D.)

Family Medicine Physician
Springfield, Boulevard Émile Krieps, Oberkorn, Differdange, Canton Esch-sur-Alzette, 4543, Luxembourg
NPI: 1386649408