Unknown Individual – Hematology & Oncology Physician, NPI 1063487460

Unknown Individual is a healthcare provider. based in North las vegas, Nevada. specializing in Hematology & Oncology Physician. They hold a License No. 04-17448 (KS). The NPI Number for Unknown Individual is 1063487460

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063487460
Phone
(702) 791-9000
Address
6900 PECOS RD
Deactivation Date
24 April 2024
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

  • North Las Vegas VA Medical Center, 6900, North Pecos Road, North Las Vegas, Clark County, Nevada, 89086, United States

    NORTH LAS VEGAS, NV 890864400

    Phone: (702) 791-9000

    Fax: (702) 224-6908

    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 89086)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1063487460 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists North Las Vegas, Nevada for Unknown Individual; download NPPES for the complete set.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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