Unknown Individual – Internal Medicine Physician, NPI 1396749636
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
17331 E US HIGHWAY 40
SUITE 101
INDEPENDENCE, MO 640555364
Phone: (816) 272-4877
Fax: (816) 272-4977
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 15 Open Payments records for all available years, with a total value of $243.
Total Amount is formed as General ($243) + Research ($0) + Ownership ($0) = $243.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($142).
Total Amount
$243
General + Research + Ownership
Payments
15
Total payment records
General Amount
$243
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
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 64055)
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