Unknown Individual – Diagnostic Radiology Physician, NPI 1104925742
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Northwest 45th Street, The Crossings, Hidden Hammocks Estates, Coral Springs, Broward County, Florida, 33067, United States
CORAL SPRINGS, FL 330651591
Phone: (954) 721-2200
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)
CMS reports 2 Open Payments records for all available years, with a total value of $259.
Total Amount is formed as General ($259) + Research ($0) + Ownership ($0) = $259.
Last reported payment date: 2024-04-25 • Largest payer in this snapshot: HeartFlow, Inc. ($144).
Total Amount
$259
General + Research + Ownership
Payments
2
Total payment records
General Amount
$259
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| HeartFlow, Inc. | $144 |
| Mozarc Medical US LLC | $116 |
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 593 | 439 | $0 |
| 70450 | Ct scan head or brain without contrast | 94 | 90 | $0 |
| 74018 | X-ray of abdomen, 1 view | 69 | 62 | $0 |
| 71046 | X-ray of chest, 2 views | 59 | 53 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 46 | 46 | $0 |
Insurance plans in this area (ZIP 33065)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | FL | 71010 | X-ray of chest, 1 view, front | 1975 | 1257 |
| DIAGNOSTIC RADIOLOGY | FL | 73630 | X-ray of foot, minimum of 3 views | 17 | 14 |
| DIAGNOSTIC RADIOLOGY | FL | 74177 | CT scan of abdomen and pelvis with contrast | 55 | 54 |
| DIAGNOSTIC RADIOLOGY | FL | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 18 | 18 |
| DIAGNOSTIC RADIOLOGY | FL | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 17 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| Family Practice | FL |
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