Unknown Individual – Pediatric Critical Care Medicine Physician, NPI 1356391189

Unknown Individual is a healthcare provider. based in Kansas city, Missouri. specializing in Pediatric Critical Care Medicine Physician. They hold a License No. 118455 (MO). The NPI Number for Unknown Individual is 1356391189

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1356391189
Phone
(816) 234-3041
Address
2401 GILLHAM RD
Deactivation Date
19 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8162343000
Graduation Year
1982 (44 years ago)
PAC ID
0446333900
Group Practice PAC ID
2466366026
Professional Enrollment ID
I20120105000099
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

Loading map...

Provider Addresses for Unknown Individual

  • Children's Mercy Hospital, 2401, Gillham Road, Kansas City, Jackson County, Missouri, 64108, United States

    KANSAS CITY, MO 641084619

    Phone: (816) 234-3041

    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 64108)

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: 2466366026View full group profile
NameSpecialtyState
Pediatric Medicine, Hematology/OncologyMO
Anesthesiology, Cardiovascular Disease (Cardiology)KS
-MO
Diagnostic RadiologyMO
Urology, Pediatric MedicineMO
Diagnostic RadiologyMO
Pediatric Medicine, Emergency MedicineMO
-MO
-IA
Certified Registered Nurse Anesthetist (Crna)MO

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

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1356391189 as the unique 10-digit identifier.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Pediatric Critical Care Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Missouri is Unknown Individual registered?
Use Kansas City, Missouri as the headline location for Unknown Individual here.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

DIANE C LIPSCOMB (M.D.)

Pediatric Critical Care Medicine Physician
PO BOX 2580
NPI: 1780677732
PO BOX 843966
NPI: 1912990870

MARITA TOBY THOMPSON (MD)

Pediatric Critical Care Medicine Physician
Children's Mercy Hospital, 2401, Gillham Road, Kansas City, Jackson County, Missouri, 64108, United States
NPI: 1164482063

ERICA ANNE MOLITOR-KIRSCH (MD)

Pediatric Critical Care Medicine Physician
2401 GILLHAM RD
NPI: 1184686248

CHRISTOPHER LEIGH HUBBLE (M.D.)

Pediatric Critical Care Medicine Physician
Children's Mercy Hospital, 2401, Gillham Road, Kansas City, Jackson County, Missouri, 64108, United States
NPI: 1831157312

DR. BRADLEY CHARLES VAUGHAN (D.O.)

Pediatric Critical Care Medicine Physician
Children's Mercy Hospital, 2401, Gillham Road, Kansas City, Jackson County, Missouri, 64108, United States
NPI: 1336197276

DR. STEPHEN A KLEM (M.D.)

Pediatric Critical Care Medicine Physician
Children's Mercy Hospital, 2401, Gillham Road, Kansas City, Jackson County, Missouri, 64108, United States
NPI: 1053369686

DR. BRUCE DOUGLAS BANWART (MD)

Pediatric Critical Care Medicine Physician
Children's Mercy Hospital, 2401, Gillham Road, Kansas City, Jackson County, Missouri, 64108, United States
NPI: 1811945439

DR. GEOFFREY L ALLEN (M.D.)

Pediatric Critical Care Medicine Physician
Children's Mercy Hospital, 2401, Gillham Road, Kansas City, Jackson County, Missouri, 64108, United States
NPI: 1497705933