Unknown Individual – Surgery Physician, NPI 1932213139

Unknown Individual is a healthcare provider. based in Kansas city, Missouri. specializing in Surgery Physician. They hold a License No. D21650 (MD). The NPI Number for Unknown Individual is 1932213139

Main info

Organization
Inactive
54 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1932213139
Phone
(816) 813-8308
Address
3210 MERSINGTON AVE
Deactivation Date
19 June 2025

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1972 (54 years ago)
PAC ID
4183725682
Professional Enrollment ID
I20070727000692
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

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Provider Addresses for Unknown Individual

  • 3210, Mersington Avenue, Palestine East, Kansas City, Jackson County, Missouri, 64128, United States

    KANSAS CITY, MO 641282143

    Phone: (816) 813-8308

    Fax: (816) 924-3223

    Type: Mailing

  • 1610, Washington Boulevard, Westheight Manor, Kansas City, Wyandotte County, Kansas, 66102, United States

    KANSAS CITY, KS 661022842

    Phone: (816) 531-0113

    Fax: (816) 531-0115

    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
99214Established patient office or other outpatient visit, 30-39 minutes8612$0
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Insurance plans in this area (ZIP 64128)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1932213139 — the number used across U.S. healthcare to identify this provider.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Surgery 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.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.