Unknown Individual – Nuclear Medicine Physician, NPI 1063406098

Unknown Individual is a healthcare provider. based in Brookline, Massachusetts. specializing in Nuclear Medicine Physician. They hold a License No. 29516 (MA). The NPI Number for Unknown Individual is 1063406098

Main info

Organization
Inactive
61 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1063406098
Phone
(800) 927-0002
Address
PO BOX 9135
Deactivation Date
23 August 2023

Doctor Profile

Medical School Name
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Secondary Phone
-
Graduation Year
1965 (61 years ago)
PAC ID
8123015245
Professional Enrollment ID
I20050917000247
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

Loading map...

Provider Addresses for Unknown Individual

  • PO BOX 9135

    ATT: SHARON SILVA

    BROOKLINE, MA 024469135

    Phone: (800) 927-0002

    Type: Mailing

  • St. Elizabeth's Medical Center, 736, Cambridge Street, Aberdeen, Brighton, Boston, Suffolk County, Massachusetts, 02135, United States

    BOSTON, MA 021352907

    Phone: (617) 789-2806

    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
78264Nuclear medicine study of stomach to assess emptying1919$0
78306Nuclear medicine study of bone and/or joint whole body1616$0
View full utilization report →

Insurance plans in this area (ZIP 02446)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Nuclear Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NUCLEAR MEDICINEMA78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies6969

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 1063406098 if you need a stable reference for Unknown Individual.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Nuclear Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Brookline, Massachusetts for Unknown Individual; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

JOHNG CHUN (MD)

Diagnostic Radiology Physician
235 North Pearl Street
NPI: 1437144706

St. Elizabeth's Nuclear Medicine

Nuclear Medicine Physician
Brookline Post Office, 1295, Beacon Street, Coolidge Corner, North Brookline, Brookline, Norfolk County, Massachusetts, 02446, United States
NPI: 1437136967

DR. AJAMU I AKAMEFULA (MD)

Nuclear Medicine Physician
1751, Beacon Street, Beaconsfield, Brookline, Norfolk County, Massachusetts, 02445, United States
NPI: 1619980752