Unknown Individual – Vascular Surgery Physician, NPI 1881793727

Unknown Individual is a healthcare provider. based in Sikeston, Missouri. specializing in Vascular Surgery Physician. They hold a License No. R6584 (MO). The NPI Number for Unknown Individual is 1881793727

Main info

Organization
Inactive
59 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1881793727
Phone
(573) 472-7120
Address
1015 N MAIN ST
Deactivation Date
24 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
5734727702
Graduation Year
1967 (59 years ago)
PAC ID
9032381165
Group Practice PAC ID
1355252891
Professional Enrollment ID
I20111013000173

Contacts

Secure Messaging
lhelfrich@missouridelta.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

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

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Provider Addresses for Unknown Individual

  • 1015, North Main Street, Sikeston, Scott County, Missouri, 63801, United States

    SIKESTON, MO 638015043

    Phone: (573) 472-7120

    Fax: (573) 472-7129

    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
99212Established patient office or other outpatient visit, 10-19 minutes3418$0
99213Established patient office or other outpatient visit, 20-29 minutes2013$0
View full utilization report →

Insurance plans in this area (ZIP 63801)

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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: 1355252891View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Certified Registered Nurse Anesthetist (Crna)AR
Physician AssistantMO
Nurse PractitionerMO
Nurse PractitionerMO
Endocrinology, Internal MedicineMO
Family PracticeMO
General SurgeryMO

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1881793727.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Vascular Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Sikeston, Missouri in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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