Unknown Individual – Adult Medicine Physician, NPI 1013908052

Adult Medicine Physician

Unknown Individual is a healthcare provider. based in Trenton, Missouri. specializing in Adult Medicine Physician. They hold a License No. 32427 (MO). The NPI Number for Unknown Individual is 1013908052

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1013908052

Phone

(660) 359-4317

Address

902 CUSTER ST

Deactivation Date

27 September 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

902, Custer Street, Trenton, Grundy County, Missouri, 64683, United States
TRENTON, MO 646832238
Phone: (660) 359-4317
Fax: (660) 359-4993
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)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-05-14 • Largest payer in this snapshot: PFIZER INC. ($14).

Total Amount

$14

General + Research + Ownership

Payments

Total payment records

General Amount

$14

General payments

Research Amount

Research funding

Ownership Amount

Ownership interests

Ownership Count

Ownership records

Last Payment Date

2024-05-14

Latest reported date

Top Companies

Largest payers in this snapshot

Company	Amount
PFIZER INC.	$14

View all Open Payments →|Open Payments Risk Radar →

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 64683)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?

The registry entry for Unknown Individual shows NPI 1013908052.

What should I verify if Unknown Individual is listed inactive?

If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Adult Medicine Physician. Clinical services aligned with this taxonomy classification.

What geographic area is tied to Unknown Individual?

Unknown Individual is associated with Trenton, Missouri in the same public data insurers reference.

Can I export Unknown Individual's record?

You can download the official NPPES record; we summarize key fields for readability.