Unknown Individual – Diagnostic Radiology Physician, NPI 1649220856

Unknown Individual is a healthcare provider. based in Atlantis, Florida. specializing in Diagnostic Radiology Physician. They hold a License No. 35.120821 (OH). The NPI Number for Unknown Individual is 1649220856

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1649220856
Phone
(561) 548-1230
Address
5301 S CONGRESS AVE
Deactivation Date
20 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9042722800
Graduation Year
1983 (43 years ago)
PAC ID
2769483221
Group Practice PAC ID
2466496880
Professional Enrollment ID
I20070125000411
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • JFK Medical Center, 5301, South Congress Avenue, Hypoluxo Village, Atlantis, Palm Beach County, Florida, 33462, United States

    ATLANTIS, FL 334621149

    Phone: (561) 548-1230

    Fax: (561) 548-1283

    Type: Location

  • 2644, Arbor Lane, Madison Green, Royal Palm Beach, Palm Beach County, Florida, 33411, United States

    ROYAL PALM BEACH, FL 334116126

    Phone: (561) 204-3067

    Fax: (561) 204-3067

    Type: Mailing

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 33462)

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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 views3528
DIAGNOSTIC RADIOLOGYFL74177CT scan of abdomen and pelvis with contrast209183
DIAGNOSTIC RADIOLOGYFL78815Nuclear medicine study with CT imaging skull base to mid-thigh271251
DIAGNOSTIC RADIOLOGYFL93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers9088

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: 2466496880View full group profile
NameSpecialtyState
Diagnostic RadiologyFL
Diagnostic RadiologyNV
Diagnostic Radiology, Nuclear MedicineNJ
-FL
Diagnostic RadiologyFL
Diagnostic RadiologyOH
Diagnostic RadiologyIL
-FL
-FL
-FL

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1649220856.
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.
What location metadata exists for Unknown Individual?
The page summarizes Atlantis, Florida for Unknown Individual; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.