Unknown Individual – Diagnostic Radiology Physician, NPI 1245220599

Unknown Individual is a healthcare provider. based in Clearwater, Florida. specializing in Diagnostic Radiology Physician. They hold a License No. ME68159 (FL). The NPI Number for Unknown Individual is 1245220599

Main info

Organization
Inactive
38 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1245220599
Phone
(727) 793-9300
Address
PO BOX 660
Deactivation Date
11 October 2024

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
7273914758
Graduation Year
1988 (38 years ago)
PAC ID
9931135290
Group Practice PAC ID
2163336777
Professional Enrollment ID
I20050712000173
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

  • PO BOX 660

    CLEARWATER, FL 337570660

    Phone: (727) 793-9300

    Fax: (727) 793-0052

    Type: Mailing

  • 1106, Druid Road South, Clearwater, Pinellas County, Florida, 33756, United States

    SUITE 302

    CLEARWATER, FL 337563846

    Phone: (727) 441-3711

    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.

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 33757)

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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 RADIOLOGYFL71250CT scan chest8785
DIAGNOSTIC RADIOLOGYFL73562X-ray of knee, 3 views4642
DIAGNOSTIC RADIOLOGYFL73630X-ray of foot, minimum of 3 views2928
DIAGNOSTIC RADIOLOGYFL74177CT scan of abdomen and pelvis with contrast7776
DIAGNOSTIC RADIOLOGYFL93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers6060

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: 2163336777View full group profile
NameSpecialtyState
-FL
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyNY
Cardiovascular Disease (Cardiology)FL
-FL
Diagnostic RadiologyMA
Cardiovascular Disease (Cardiology)FL
Diagnostic RadiologyFL

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1245220599 for Unknown Individual.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Clearwater, Florida?
If you are local to Clearwater, Florida, Unknown Individual may be relevant to your search.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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