Unknown Individual – Surgery Physician, NPI 1003825829

Unknown Individual is a healthcare provider. based in Emporia, Kansas. specializing in Surgery Physician. They hold a License No. 04-20908 (KS). The NPI Number for Unknown Individual is 1003825829

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1003825829
Phone
(620) 343-2900
Address
1301 W 12TH AVE
Deactivation Date
24 January 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Newman Medical Plaza, 1301, West 12th Avenue, Berkeley Hills, Emporia, Lyon County, Kansas, 66801, United States

    SUITE 401

    EMPORIA, KS 668012587

    Phone: (620) 343-2900

    Fax: (620) 343-9484

    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.

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

Insurance plans in this area (ZIP 66801)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1003825829 if you need a stable reference for Unknown Individual.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Surgery Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Kansas?
You will see Emporia, Kansas on file for Unknown Individual alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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