Unknown Individual – Emergency Medicine Physician, NPI 1366443996

Unknown Individual is a healthcare provider. based in Fort worth, Texas. specializing in Emergency Medicine Physician. They hold a License No. ========= (KS). The NPI Number for Unknown Individual is 1366443996

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1366443996
Phone
Not provided
Address
PO BOX 8145
Deactivation Date
25 November 2020
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

Provider Addresses for Unknown Individual

  • PO BOX 8145

    FORT WORTH, TX 761240145

    Phone:

    Type: Mailing

  • 1301 S MAIN STREET

    OTTOWA, KS 66067

    Phone: (913) 676-2214

    Type: Location

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.

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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 76124)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1366443996 on file in the registry.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Fort Worth?
Public fields place Unknown Individual around Fort Worth, Texas. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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