Unknown Individual – Neurology Physician, NPI 1528038619

Unknown Individual is a healthcare provider. based in Las vegas, Nevada. specializing in Neurology Physician. They hold a License No. MD 00019758 (WA). The NPI Number for Unknown Individual is 1528038619

Main info

Organization
Inactive
54 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1528038619
Phone
(702) 432-2233
Address
2010 WELLNESS WAY STE 306
Deactivation Date
10 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7024322233
Graduation Year
1972 (54 years ago)
PAC ID
2961490834
Group Practice PAC ID
7315257797
Professional Enrollment ID
I20040501000182
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:0State licenses:8Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Wellness Way, Las Vegas, Clark County, Nevada, 89102-2333, United States

    LAS VEGAS, NV 891064142

    Phone: (702) 432-2233

    Fax: (702) 800-5456

    Type: Mailing

  • North Tenaya Way, Tule Springs, Las Vegas, Clark County, Nevada, 89131, United States

    STE 100

    LAS VEGAS, NV 891280464

    Phone: (702) 432-2233

    Fax: (702) 800-5456

    Type: Location

  • 1000 N GREEN VALLEY PKWY # 440-493

    HENDERSON, NV 890746163

    Phone: (702) 906-0027

    Fax: (702) 800-5456

    Type: Mailing

  • 5495 S RAINBOW BLVD STE 202

    LAS VEGAS, NV 891181873

    Phone: (702) 906-0027

    Fax: (702) 906-0160

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $1,023.

Total Amount is formed as General ($1,023) + Research ($0) + Ownership ($0) = $1,023.

Last reported payment date: 2024-04-22 • Largest payer in this snapshot: ABBVIE INC. ($337).

Total Amount

$1,023

General + Research + Ownership

Payments

39

Total payment records

General Amount

$1,023

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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 89106)

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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: 7315257797View full group profile
NameSpecialtyState
N E U R O L O G YNV
N E U R O L O G YNV
N E U R O L O G YNV
N E U R O L O G YNV
Nurse PractitionerNV
Nurse PractitionerNV
Neurology, Geriatric PsychiatryNV
Nurse PractitionerND
N E U R O L O G YNV
Nurse PractitionerNV

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1528038619.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Neurology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Las Vegas, Nevada in the same public data insurers reference.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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