Unknown Individual – Diagnostic Radiology Physician, NPI 1396707097

Unknown Individual is a healthcare provider. based in Rensselaer, Indiana. specializing in Diagnostic Radiology Physician. They hold a License No. 036046912 (IL). The NPI Number for Unknown Individual is 1396707097

Main info

Organization
Inactive
60 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1396707097
Phone
(219) 863-2418
Address
PO BOX 10
Deactivation Date
14 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1966 (60 years ago)
PAC ID
1658459540
Professional Enrollment ID
I20080417000246
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

Loading map...

Provider Addresses for Unknown Individual

  • Rensselaer, Jasper County, Indiana, 47978, United States

    RENSSELAER, IN 479780010

    Phone: (219) 863-2418

    Fax: (219) 866-7558

    Type: Mailing

  • 770, Winding Road, Collegeville, Rensselaer, Jasper County, Indiana, 47978, United States

    RENSSELAER, IN 479787284

    Phone: (219) 863-2418

    Fax: (219) 866-7558

    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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view806554$0
71046X-ray of chest, 2 views270239$0
70450Ct scan head or brain without contrast224204$0
71250Ct scan of chest without contrast160137$0
71260Ct scan of chest with contrast10895$0
View full utilization report →

Insurance plans in this area (ZIP 47978)

Loading plans...

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

How do I look up Unknown Individual by NPI?
Use NPI 1396707097 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What kind of provider is Unknown Individual?
The page reflects Diagnostic Radiology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Rensselaer, Indiana because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1396707097. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

DR. BRADLEY T STRNAD (MD)

Vascular & Interventional Radiology Physician
Engle Road, Country Club Gardens, Fort Wayne, Allen County, Indiana, 46804, United States of America
NPI: 1548263726

DR. EDWARD R BARTLEY (MD)

Diagnostic Radiology Physician
5901, Technology Center Drive, Indianapolis, Boone County, Indiana, 46278, United States
NPI: 1700889623

DR. RICHARD T BEELER (MD)

Diagnostic Radiology Physician
5901, Technology Center Drive, Indianapolis, Boone County, Indiana, 46278, United States
NPI: 1497758379

DR. KATHY S CLARK (MD)

Diagnostic Radiology Physician
5901, Technology Center Drive, Indianapolis, Boone County, Indiana, 46278, United States
NPI: 1952304701

DR. HOMER F BELTZ (MD)

Diagnostic Radiology Physician
5901, Technology Center Drive, Indianapolis, Boone County, Indiana, 46278, United States
NPI: 1801899778

DR. DAVID E BUECHNER (MD)

Diagnostic Radiology Physician
Poplar Pike, Germantown, Shelby County, Tennessee, 38139, United States
NPI: 1619970688

MARGARET A BRENGLE (MD)

Diagnostic Radiology Physician
5901, Technology Center Drive, Indianapolis, Boone County, Indiana, 46278, United States
NPI: 1265435036

DR. GLENN A TUCKMAN (MD)

Diagnostic Radiology Physician
Shamel Drive, Indianapolis, Indiana, 46278, United States
NPI: 1821091620