Unknown Individual – Internal Medicine Physician, NPI 1326031915

Unknown Individual is a healthcare provider. based in Kansas city, Missouri. specializing in Internal Medicine Physician. They hold a License No. 2006025309 (MO). The NPI Number for Unknown Individual is 1326031915

Main info

Organization
Inactive
37 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1326031915
Phone
(417) 269-5712
Address
PO BOX 802843
Deactivation Date
19 December 2024

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4172694450
Graduation Year
1989 (37 years ago)
PAC ID
4880592823
Group Practice PAC ID
5799787784
Professional Enrollment ID
I20061117000199
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

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Provider Addresses for Unknown Individual

  • Jack in the Box, South 18th Street, Kansas City, Wyandotte County, Kansas, 66102, United States

    KANSAS CITY, MO 641802843

    Phone: (417) 269-5712

    Fax: (417) 269-7567

    Type: Mailing

  • 201, East Walnut Lawn Street, Springfield, Greene County, Missouri, 65807, United States

    SPRINGFIELD, MO 65807

    Phone: (417) 269-4450

    Fax: (417) 269-8333

    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 64180)

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Provider's Procedures

Unknown Individual performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMO90670Pneumococcal vaccine for injection into muscle1414

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: 5799787784View full group profile
NameSpecialtyState
MS. JULIE L SETTLE (MD)
Family PracticeMO
MICHELLE SPENCER (FNP-C)
Nurse PractitionerMO
DR. WILLIAM RUSSELL DETTEN (D.O.)
-MO
DR. JOHN RANDALL BRANDT (PH.D.)
-MO
DR. MEGAN CHRISTINE ROONEY THOMPSON
-MO
JULIA L. FLAX (M.D.)
Family PracticeMO
CANDACE CHANTEL ROLAND (FNP)
Nurse PractitionerMO
DR. RACHEL I. TOTH (M.D.)
-MO
MS. JENNIFER A. OTT (FNP)
-MO
MS. HELEN M ALLEN
-MO

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1326031915.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Kansas City, Missouri in registry-derived data.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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