Unknown Individual – Surgical Critical Care Physician, NPI 1619927324

Surgical Critical Care Physician

Unknown Individual is a healthcare provider. based in Omaha, Nebraska. specializing in Surgical Critical Care Physician. They hold a License No. 19228 (NE). The NPI Number for Unknown Individual is 1619927324

Main info

Organization

Inactive

52 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1619927324

Phone

(402) 559-4017

Address

EMILE @ 42ND ST

Deactivation Date

5 April 2021

Doctor Profile

Medical School Name

ST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS

Secondary Phone

4025599800

Graduation Year

1974 (52 years ago)

PAC ID

4284761271

Group Practice PAC ID

6002728391

Professional Enrollment ID

I20100422000998

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience19

Completeness75

Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

EMILE @ 42ND ST
OMAHA, NE 681988102
Phone: (402) 559-4017
Fax: (402) 559-6749
Type: Location
Nebraska Medical Center, 668, South 41st Street, Omaha, Douglas County, Nebraska, 68105, United States
OMAHA, NE 681988102
Phone: (402) 559-4017
Fax: (402) 559-6749
Type: Mailing

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68198)

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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: 6002728391View full group profile

Name	Specialty	State
NEIL C II JOUVENAT (PA-C)	Physician Assistant	NE
DR. ELIZABETH RINI SCHNAUBELT (M.D.)	Infectious Disease	NE
SWETHA PEDAVALLY (M.D)	N E U R O L O G Y	NE
AUDREY J LAZENBY (MD)	P A T H O L O G Y	NE
DR. MATTHEW ALEXANDER LUNNING (D.O.)	Medical Oncology, Hematology/Oncology	NE
LAURA E CUDZILO-KELSEY	O B S T E T R I C S/ G Y N E C O L O G Y	NE
DAVID E BARTON (MD)	-	NE
KATHRYN ELLEN HUTCHINS (M.D.)	G A S T R O E N T E R O L O G Y	NE
DR. URMILA MUKHERJEE (MD)	Internal Medicine	NE
MR. ARUN X SWAMINATHAN (M.B.B.S.)	N E U R O S U R G E R Y	NE

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?

Use NPI 1619927324 when you need to reference Unknown Individual in forms, claims, or directories.

Is Unknown Individual's inactive status permanent?

An inactive NPI does not by itself prove someone stopped practicing — check other sources.

What does Unknown Individual treat or focus on?

Patients typically see Unknown Individual under the specialty Surgical Critical Care Physician. Clinical services aligned with this taxonomy classification.

Where does public data place Unknown Individual?

The snapshot lists Omaha, Nebraska for Unknown Individual; download NPPES for the complete set.

Is this NPI for an individual or an organization?

This listing corresponds to an Individual Provider.