Unknown Individual – Radiation Oncology Physician, NPI 1215951801

Unknown Individual is a healthcare provider. based in Munster, Indiana. specializing in Radiation Oncology Physician. They hold a License No. 01084248A (IN). The NPI Number for Unknown Individual is 1215951801

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1215951801
Phone
(219) 836-6390
Address
901 MacArthur Blvd
Deactivation Date
19 January 2021

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
6024066017
Graduation Year
1985 (41 years ago)
PAC ID
7012990286
Group Practice PAC ID
4486646197
Professional Enrollment ID
I20190611001828
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 901 MacArthur Blvd

    Munster, IN 463212901

    Phone: (219) 836-6390

    Fax: (219) 836-7094

    Type: Location

  • 4321 Fir St

    East Chicago, IN 463123049

    Phone: (219) 392-7319

    Fax: (219) 392-7320

    Type: Location

  • 511 W 11TH ST

    Texarkana, TX 755014300

    Phone: (903) 614-3780

    Fax: (903) 614-3525

    Type: Location

  • 5002, Cowhorn Creek Road, Texarkana, Bowie County, Texas, 75503, United States

    TEXARKANA, TX 755039766

    Phone: (903) 614-3000

    Fax: (903) 614-3525

    Type: Mailing

  • Saint Mary Medical Center, 1500, South Lake Park Avenue, Hobart, Lake County, Indiana, 46342, United States

    HOBART, IN 463426638

    Phone: (219) 942-5745

    Fax: (219) 942-8452

    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 46321)

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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: 4486646197View full group profile
NameSpecialtyState
-AZ
-IL
-AZ
Infectious Disease, Internal MedicineWA
-AZ
Pulmonary Disease, Critical Care (Intensivists)AZ
Diagnostic RadiologyAZ
Nurse PractitionerAZ
Nurse PractitionerAZ
Colorectal Surgery (Proctology)AZ

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1215951801; it appears in the national provider directory.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Indiana?
You will see Munster, Indiana on file for Unknown Individual alongside any extra practice locations.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.