Unknown Individual – Therapeutic Radiology Physician, NPI 1003882648

Unknown Individual is a healthcare provider. based in Atlanta, Georgia. specializing in Therapeutic Radiology Physician. They hold a License No. ME14615 (FL). The NPI Number for Unknown Individual is 1003882648

Main info

Organization
Inactive
62 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1003882648
Phone
(305) 503-6320
Address
DEPT AT 952288
Deactivation Date
25 October 2021

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8004372672
Graduation Year
1964 (62 years ago)
PAC ID
9537135579
Group Practice PAC ID
9537156757
Professional Enrollment ID
I20040909001140
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

Loading map...

Provider Addresses for Unknown Individual

  • Pasaje Atlanta, El Tambo, Province of Huancayo, Junín, 12009, Peru

    ATLANTA, GA 311920001

    Phone: (305) 503-6320

    Fax: (305) 503-6329

    Type: Mailing

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

    ATLANTIS, FL 334621149

    Phone: (561) 548-3727

    Fax: (561) 548-1238

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 31192)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Therapeutic Radiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYFL71250CT scan chest280272
DIAGNOSTIC RADIOLOGYFL73110X-ray of wrist, minimum of 3 views7566
DIAGNOSTIC RADIOLOGYFL73630X-ray of foot, minimum of 3 views320249
DIAGNOSTIC RADIOLOGYFL74177CT scan of abdomen and pelvis with contrast145141
DIAGNOSTIC RADIOLOGYFL93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers106106

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: 9537156757View full group profile
NameSpecialtyState
Diagnostic RadiologyKY
-FL
Diagnostic RadiologyFL
Diagnostic RadiologyFL
Diagnostic RadiologyMN
Diagnostic RadiologyNY
Diagnostic RadiologyNY
-FL
Diagnostic Radiology, Nuclear MedicineGA
Diagnostic RadiologyFL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1003882648 if you need a stable reference for Unknown Individual.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Therapeutic Radiology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Atlanta, Georgia for Unknown Individual; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

Boy Scout Drive, Fort Myers, Lee County, Florida, 33907, United States
NPI: 1811994999

DR. ARTHUR J MATZKOWITZ (M.D.)

Therapeutic Radiology Physician
8763 RIVER CROSSING BLVD
NPI: 1588636831

SANTIAGO HERNANDEZ (MD)

Therapeutic Radiology Physician
Pasaje Atlanta, El Tambo, Province of Huancayo, Junín, 12009, Peru
NPI: 1699740431

SAUL CANEDO (MD)

Therapeutic Radiology Physician
Pasaje Atlanta, El Tambo, Province of Huancayo, Junín, 12009, Peru
NPI: 1598730426

PALM BEACH RADIOLOGY PROFESSIONALS, PA

Diagnostic Radiology Physician
Pasaje Atlanta, El Tambo, Province of Huancayo, Junín, 12009, Peru
NPI: 1396711933

STEVEN MARTIN (MD)

Therapeutic Radiology Physician
Pasaje Atlanta, El Tambo, Province of Huancayo, Junín, 12009, Peru
NPI: 1295701837

BAO TRAN DOAN (MD)

Therapeutic Radiology Physician
Pasaje Atlanta, El Tambo, Province of Huancayo, Junín, 12009, Peru
NPI: 1972579514

MARAT BAKMAN (MD)

Therapeutic Radiology Physician
Pasaje Atlanta, El Tambo, Province of Huancayo, Junín, 12009, Peru
NPI: 1225073729

ADAM M GITTLEMAN (MD)

Diagnostic Radiology Physician
Pasaje Atlanta, El Tambo, Province of Huancayo, Junín, 12009, Peru
NPI: 1821024829