Unknown Individual – Diagnostic Radiology Physician, NPI 1376538041

Unknown Individual is a healthcare provider. based in West des moines, Iowa. specializing in Diagnostic Radiology Physician. They hold a License No. MD-25936 (IA). The NPI Number for Unknown Individual is 1376538041

Main info

Organization
Inactive
42 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1376538041
Phone
(515) 875-9925
Address
7147 VISTA DR STE 150
Deactivation Date
30 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
5158759100
Graduation Year
1984 (42 years ago)
PAC ID
0446211932
Group Practice PAC ID
4082513742
Professional Enrollment ID
I20041019000538
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

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Provider Addresses for Unknown Individual

  • 7147 VISTA DR STE 150

    WEST DES MOINES, IA 502669313

    Phone: (515) 875-9925

    Fax: (515) 875-9923

    Type: Mailing

  • 1221, Pleasant Street, Sherman Hill, Des Moines, Polk County, Iowa, 50309, United States

    STE 150

    DES MOINES, IA 50309

    Phone: (515) 244-5109

    Fax: (515) 875-9672

    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 50266)

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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 RADIOLOGYIA71250CT scan chest4241
DIAGNOSTIC RADIOLOGYIA73562X-ray of knee, 3 views1412
DIAGNOSTIC RADIOLOGYIA74177CT scan of abdomen and pelvis with contrast2827

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: 4082513742View full group profile
NameSpecialtyState
Family PracticeIA
Nurse PractitionerIA
P O D I A T R YIA
Internal MedicineIA
Family PracticeIA
-IA
Family PracticeIA
Orthopedic SurgeryMO
Internal MedicineIA
Family PracticeIA

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1376538041 — the number used across U.S. healthcare to identify this provider.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where in Iowa is Unknown Individual registered?
Use West Des Moines, Iowa as the headline location for Unknown Individual here.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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