Unknown Individual – Psychiatry Physician, NPI 1568841922

Unknown Individual is a healthcare provider. based in Kansas city, Missouri. specializing in Psychiatry Physician. They hold a License No. 2017011968 (MO). The NPI Number for Unknown Individual is 1568841922

Main info

Organization
Inactive
11 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1568841922
Phone
(816) 512-7481
Address
1000 E 24TH ST
Deactivation Date
17 July 2025

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8165237000
Graduation Year
2015 (11 years ago)
PAC ID
6800199001
Group Practice PAC ID
3971490038
Professional Enrollment ID
I20191008000791

Contacts

Secure Messaging
SIMEON.KING@hca2.eclinicaldirectplus.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 1000 E 24TH ST

    KANSAS CITY, MO 641082776

    Phone: (816) 512-7481

    Fax: (816) 512-7486

    Type: Location

  • 2323 E 63RD ST

    KANSAS CITY, MO 641303462

    Phone: (816) 444-8161

    Type: Location

  • 2323 E 63rd St

    Kansas City, MO 641303462

    Phone: (816) 444-8161

    Type: Location

  • 300 W 19th Ter

    Kansas City, MO 641082026

    Phone: (816) 404-5709

    Fax: (816) 404-5044

    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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes18044$0
99238Hospital discharge day management, 30 minutes or less3530$0
90792Psychiatric diagnostic evaluation with medical services3232$0
View full utilization report →

Insurance plans in this area (ZIP 64108)

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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: 3971490038View full group profile
NameSpecialtyState
P S Y C H I A T R YMO
Nurse PractitionerMO
-KS
P S Y C H I A T R YMO
-MO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1568841922.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Kansas City?
Public fields place Unknown Individual around Kansas City, Missouri. Always confirm the exact site before visiting.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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