Unknown Individual – Neurology Physician, NPI 1003916651

Unknown Individual is a healthcare provider. based in Brentwood, Tennessee. specializing in Neurology Physician. They hold a License No. 04-29238 (KS). The NPI Number for Unknown Individual is 1003916651

Main info

Organization
Inactive
53 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1003916651
Phone
(800) 348-4565
Address
3 MARYLAND FARMS STE 200
Deactivation Date
2 January 2025

Doctor Profile

Medical School Name
STANFORD UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8003484565
Graduation Year
1973 (53 years ago)
PAC ID
0840188850
Group Practice PAC ID
1355495961
Professional Enrollment ID
I20040804001384
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 3 MARYLAND FARMS STE 200

    BRENTWOOD, TN 370275780

    Phone: (800) 348-4565

    Fax: (615) 345-5405

    Type: Mailing

  • 12417, Howe Drive, Leawood South, Leawood, Johnson County, Kansas, 66209, United States

    LEAWOOD, KS 66209

    Phone: (913) 498-1272

    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
G0453Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure)335112$0
95938Placement of skin electrodes and measurement of stimulated sites on arms and legs269265$0
95939Placement of skin electrodes and measurement of central motor stimulation in arms and legs229225$0
95870Needle measurement of electrical activity in arm, leg, trunk or head muscles, limited study220115$0
95861Needle measurement of electrical activity in arm or leg muscles, 2 extremities124122$0
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Insurance plans in this area (ZIP 37027)

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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: 1355495961View full group profile

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 1003916651.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Neurology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Tennessee is Unknown Individual registered?
Use Brentwood, Tennessee as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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