Unknown Individual – Internal Medicine Physician, NPI 1427154558

Unknown Individual is a healthcare provider. based in Joplin, Missouri. specializing in Internal Medicine Physician. They hold a License No. 12919 (TN). The NPI Number for Unknown Individual is 1427154558

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1427154558
Phone
(417) 556-8377
Address
100 MERCY WAY STE 450
Deactivation Date
26 July 2024

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4175563754
Graduation Year
1979 (47 years ago)
PAC ID
8325933609
Group Practice PAC ID
0547300196
Professional Enrollment ID
I20040216001312
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:0State licenses:6Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 100 MERCY WAY STE 450

    JOPLIN, MO 648044524

    Phone: (417) 556-8377

    Mailing address matches the actual address.

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
99213Established patient office or other outpatient visit, 20-29 minutes248164$0
99214Established patient office or other outpatient visit, 30-39 minutes167106$0
94729Test to examine how well the lungs exchange gases118110$0
94726Test to determine lung volumes using sensors117109$0
99204New patient office or other outpatient visit, 45-59 minutes9595$0
View full utilization report →

Insurance plans in this area (ZIP 64804)

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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
CRITICAL CARE (INTENSIVISTS)MO94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration139133

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: 0547300196View full group profile
NameSpecialtyState
Pulmonary Disease, Internal MedicineMO
Internal Medicine, Pulmonary Disease, Pulmonary Disease, Critical Care (Intensivists)IN
Physician AssistantIL
Nurse PractitionerMO
Family PracticeMO
Vascular SurgeryID
-MO
Orthopedic SurgeryKS
N E U R O L O G YMO
-MO

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1427154558 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Joplin, Missouri for Unknown Individual; download NPPES for the complete set.
What if Joplin, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.