Unknown Individual – Foot & Ankle Surgery Podiatrist, NPI 1760835854

Unknown Individual is a healthcare provider. based in Festus, Missouri. specializing in Foot & Ankle Surgery Podiatrist. They hold a License No. 2231 (TX). The NPI Number for Unknown Individual is 1760835854

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1760835854
Phone
(636) 224-8297
Address
1455 US HIGHWAY 61 STE A
Deactivation Date
20 March 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1455 US HIGHWAY 61 STE A

    FESTUS, MO 630284158

    Phone: (636) 224-8297

    Fax: (877) 628-4620

    Type: Mailing

  • 4215, North Major Drive, Beaumont, Jefferson County, Texas, 77713, United States

    APT 1202

    BEAUMONT, TX 777139611

    Phone: (305) 299-1335

    Type: Mailing

  • 425, Huehl Road, Northfield Township, Cook County, Illinois, 60062, United States

    UNIT 13

    NORTHBROOK, IL 600622319

    Phone: (847) 504-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2023-02-02 • Largest payer in this snapshot: Amgen Inc. ($34).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Amgen Inc.$34
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 63028)

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Provider's Procedures

Unknown Individual performs procedures in Foot & Ankle Surgery Podiatrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYIL11056Removal of 2 to 4 thickened skin growths5755

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1760835854 in the public NPI dataset.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Foot & Ankle Surgery Podiatrist in this dataset. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Festus, Missouri; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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