Unknown Individual – Diagnostic Radiology Physician, NPI 1215152996

Unknown Individual is a healthcare provider. based in Topeka, Kansas. specializing in Diagnostic Radiology Physician. They hold a License No. 730 (NE). The NPI Number for Unknown Individual is 1215152996

Main info

Organization
Inactive
22 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1215152996
Phone
(785) 234-2306
Address
1303 SW FIRST AMERICAN PL
Deactivation Date
21 July 2022

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
8169411400
Graduation Year
2004 (22 years ago)
PAC ID
2163572033
Group Practice PAC ID
0143116053
Professional Enrollment ID
I20100805000997
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1303 SW FIRST AMERICAN PL

    TOPEKA, KS 666044059

    Phone: (785) 234-2306

    Fax: (785) 234-2550

    Mailing address matches the actual address.

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 66604)

Loading plans...

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 RADIOLOGYKS71250CT scan chest5353
DIAGNOSTIC RADIOLOGYKS73110X-ray of wrist, minimum of 3 views1717
DIAGNOSTIC RADIOLOGYKS73562X-ray of knee, 3 views3937
DIAGNOSTIC RADIOLOGYKS73630X-ray of foot, minimum of 3 views5450
DIAGNOSTIC RADIOLOGYKS74177CT scan of abdomen and pelvis with contrast179174
DIAGNOSTIC RADIOLOGYKS78815Nuclear medicine study with CT imaging skull base to mid-thigh1111

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: 0143116053View full group profile

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 1215152996 when you need to reference Unknown Individual in forms, claims, or directories.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Topeka, Kansas because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1215152996. Always confirm identity and privileges with the practice and licensing boards.