Unknown Individual – Urology Physician, NPI 1477536241

Unknown Individual is a healthcare provider. based in Lenexa, Kansas. specializing in Urology Physician. They hold a License No. R1E47 (MO). The NPI Number for Unknown Individual is 1477536241

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1477536241
Phone
(573) 619-8960
Address
14505 W 90TH CT
Deactivation Date
26 July 2023
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

  • 14505, West 90th Court, Country Hill, Lenexa, Johnson County, Kansas, 66215, United States

    LENEXA, KS 662152915

    Phone: (573) 619-8960

    Type: Mailing

  • 3610, Baltimore Avenue, Hanover Place, Westport, Kansas City, Jackson County, Missouri, 64111, United States

    #4

    KANSAS CITY, MO 641112115

    Phone: (573) 619-2635

    Fax: (573) 302-0678

    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.

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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 66215)

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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 1477536241.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Urology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Lenexa?
Unknown Individual currently maps to Lenexa, Kansas in this extract.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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