Unknown Individual – Ambulatory Surgical Clinic/Center, NPI 1780148676

Unknown Individual is a healthcare provider. based in Leawood, Kansas. specializing in Ambulatory Surgical Clinic/Center. The NPI Number for Unknown Individual is 1780148676

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1780148676
Phone
(913) 387-0510
Address
11221 ROE AVE STE 300
Deactivation Date
18 April 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • Roe Avenue, Leawood, Johnson County, Kansas, 66211, United States

    LEAWOOD, KS 662111941

    Phone: (913) 387-0510

    Type: Mailing

  • 1246 N FARM TO MARKET 3083 RD W

    CONROE, TX 77304

    Phone: (913) 387-0510

    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 66211)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1780148676 for Unknown Individual, then check state licensing separately.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Ambulatory Surgical Clinic/Center. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Leawood, Kansas in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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