Unknown Individual – Emergency Medicine Physician, NPI 1104888189

Unknown Individual is a healthcare provider. based in Shawnee mission, Kansas. specializing in Emergency Medicine Physician. They hold a License No. 420906 (KS). The NPI Number for Unknown Individual is 1104888189

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104888189
Phone
(913) 469-4244
Address
PO BOX 680
Deactivation Date
3 April 2025
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

  • PO BOX 680

    SHAWNEE MISSION, KS 662010680

    Phone: (913) 469-4244

    Fax: (913) 469-1939

    Type: Mailing

  • Via Christi Hospital, 1823, College Avenue, Manhattan, Riley County, Kansas, 66502, United States

    MANHATTAN, KS 665023381

    Phone: (785) 776-3322

    Fax: (785) 565-4754

    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.

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

Insurance plans in this area (ZIP 66201)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1104888189.
How do I interpret inactive records for Unknown Individual?
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 Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Shawnee Mission, Kansas for Unknown Individual; expand the address list for detail.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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