Unknown Individual – Family Medicine Physician, NPI 1023053147

Unknown Individual is a healthcare provider. based in Lexington, Kentucky. specializing in Family Medicine Physician. They hold a License No. 10512 (KY). The NPI Number for Unknown Individual is 1023053147

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1023053147
Phone
(859) 323-6711
Address
740 S LIMESTONE
Deactivation Date
20 June 2006
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 740, South Limestone, North Elizabeth Street, Lexington, Fayette County, Kentucky, 40508, United States

    K-302 KENTUCKY CLINIC

    LEXINGTON, KY 405360001

    Phone: (859) 323-6711

    Fax: (859) 323-6661

    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 40536)

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Provider's Procedures

Unknown Individual performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEKY83036Hemoglobin A1C level2322

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1023053147 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Lexington, Kentucky for Unknown Individual; download NPPES for the complete set.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1023053147. Always confirm identity and privileges with the practice and licensing boards.

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