Unknown Individual – Radiation Oncology Physician, NPI 1972506707

Unknown Individual is a healthcare provider. based in Naples, Florida. specializing in Radiation Oncology Physician. They hold a License No. ME0091923 (FL). The NPI Number for Unknown Individual is 1972506707

Main info

Organization
Inactive
27 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1972506707
Phone
(239) 593-3030
Address
1885 SW HEALTH PKWY
Deactivation Date
4 January 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
8820054273
Group Practice PAC ID
9830082882
Professional Enrollment ID
I20041207000781
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

Provider Addresses for Unknown Individual

  • 1885 SW HEALTH PKWY

    NAPLES, FL 341090449

    Phone: (239) 593-3030

    Fax: (239) 593-3022

    Type: Location

  • Colonial Boulevard, Fort Myers, Lee County, Florida, 33907, United States of America

    FORT MYERS, FL 339071412

    Phone: (239) 931-7342

    Fax: (239) 931-7385

    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.

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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.

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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 34109)

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Provider's Procedures

Unknown Individual performs procedures in Radiation Oncology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYFL76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle3330
RADIATION ONCOLOGYFL77263Management of radiation therapy, complex211203
RADIATION ONCOLOGYFL77300Calculation of radiation therapy dose2667203

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: 9830082882View full group profile

Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1972506707 as the unique 10-digit identifier.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Naples?
Public fields place Unknown Individual around Naples, Florida. Always confirm the exact site before visiting.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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