Unknown Individual – Pediatrics Physician, NPI 1346249349

Unknown Individual is a healthcare provider. based in Broken arrow, Oklahoma. specializing in Pediatrics Physician. They hold a License No. 12486 (OK). The NPI Number for Unknown Individual is 1346249349

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1346249349
Phone
(918) 449-4061
Address
2950 S ELM PL
Deactivation Date
1 May 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

  • South Elm Place, Broken Arrow, Tulsa County, Oklahoma, 74102, United States

    STE 430

    BROKEN ARROW, OK 740127877

    Phone: (918) 449-4061

    Type: Location

  • 6600, South Yale Avenue, Southridge Estates, Tulsa, Tulsa County, Oklahoma, 74137, United States

    STE 1400

    TULSA, OK 741363310

    Phone: (918) 488-6001

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $983.

Total Amount is formed as General ($0) + Research ($983) + Ownership ($0) = $983.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Regeneron Pharmaceuticals, Inc. ($983).

Total Amount

$983

General + Research + Ownership

Payments

3

Total payment records

General Amount

$0

General payments

Research Amount

$983

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

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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 74012)

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Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1346249349; it appears in the national provider directory.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Broken Arrow, Oklahoma for Unknown Individual based on available NPPES addresses.
What if Broken Arrow, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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