Unknown Individual – Diagnostic Radiology Physician, NPI 1548215627

Unknown Individual is a healthcare provider. based in Clearwater, Florida. specializing in Diagnostic Radiology Physician. They hold a License No. 0053522 (FL). The NPI Number for Unknown Individual is 1548215627

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1548215627
Phone
(727) 847-5122
Address
PO BOX 17507
Deactivation Date
23 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7278475122
Graduation Year
1983 (43 years ago)
PAC ID
9335316231
Group Practice PAC ID
2860470077
Professional Enrollment ID
I20120117000864
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • PO BOX 17507

    CLEARWATER, FL 337620507

    Phone: (727) 847-5122

    Fax: (727) 846-8549

    Type: Mailing

  • 5539, Marine Parkway, New Port Richey, Pasco County, Florida, 34652, United States

    NEW PORT RICHEY, FL 346524329

    Phone: (727) 841-8225

    Fax: (727) 846-8549

    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 33762)

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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 RADIOLOGYFL73110X-ray of wrist, minimum of 3 views2826
DIAGNOSTIC RADIOLOGYFL93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers5555

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: 2860470077View full group profile
NameSpecialtyState
-FL
-FL
-FL
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyIL
Diagnostic RadiologyFL
Diagnostic RadiologyFL
-FL
Diagnostic Radiology, Interventional RadiologyFL

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1548215627 for Unknown Individual, then check state licensing separately.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Diagnostic Radiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Clearwater, Florida in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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