Unknown Individual – Physical Medicine & Rehabilitation Physician, NPI 1508817263

Unknown Individual is a healthcare provider. based in Wichita, Kansas. specializing in Physical Medicine & Rehabilitation Physician. They hold a License No. 04-18501 (KS). The NPI Number for Unknown Individual is 1508817263

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1508817263
Phone
(316) 685-2221
Address
5500 EAST KELLOGG
Deactivation Date
1 May 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

  • East Kellogg Drive, Towne East Square, Wichita, Sedgwick County, Kansas, 67207, United States

    WICHITA, KS 672181607

    Phone: (316) 685-2221

    Fax: (316) 681-5505

    Type: Location

  • Hickory Stick Circle, Wichita, Sedgwick County, Kansas, 67230, United States

    WICHITA, KS 672309210

    Phone: (316) 733-4618

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2023-01-25 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($31).

Total Amount

$31

General + Research + Ownership

Payments

1

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-25

Latest reported date

Top Companies

Largest payers in this snapshot

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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 67218)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1508817263 as the unique 10-digit identifier.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Wichita?
Unknown Individual currently maps to Wichita, Kansas in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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