Unknown Individual – Diagnostic Radiology Physician, NPI 1073554515

Unknown Individual is a healthcare provider. based in Tuscaloosa, Alabama. specializing in Diagnostic Radiology Physician. They hold a License No. 16237 (AL). The NPI Number for Unknown Individual is 1073554515

Main info

Organization
Inactive
36 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1073554515
Phone
(205) 345-7000
Address
208 MCFARLAND CIR N
Deactivation Date
7 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
2053457000
Graduation Year
1990 (36 years ago)
PAC ID
8224939939
Group Practice PAC ID
0941101653
Professional Enrollment ID
I20100818000704
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

  • 208, McFarland Circle North, Academy Drive, Tuscaloosa, Tuscaloosa County, Alabama, 35406, United States

    SUITE 100

    TUSCALOOSA, AL 354061800

    Phone: (205) 345-7000

    Fax: (205) 343-0910

    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 35406)

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Provider's Procedures

Unknown Individual performs procedures in Diagnostic Radiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYAL73110X-ray of wrist, minimum of 3 views1816
DIAGNOSTIC RADIOLOGYAL73630X-ray of foot, minimum of 3 views2928
DIAGNOSTIC RADIOLOGYAL74177CT scan of abdomen and pelvis with contrast1313
DIAGNOSTIC RADIOLOGYAL76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle5249
DIAGNOSTIC RADIOLOGYAL77012Radiological supervision and interpretation of CT guidance for needle insertion3331
DIAGNOSTIC RADIOLOGYAL93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers3333

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941101653View full group profile
NameSpecialtyState
Diagnostic RadiologyAL
Diagnostic RadiologyAL
Diagnostic RadiologyAL
Diagnostic RadiologyIL
Diagnostic RadiologyTX
Diagnostic RadiologyAL
Diagnostic RadiologyFL
Diagnostic RadiologyAL
Diagnostic RadiologyAL
-AL

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1073554515; it appears in the national provider directory.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Tuscaloosa, Alabama for Unknown Individual; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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