Unknown Individual – Radiation Oncology Physician, NPI 1467459321

Unknown Individual is a healthcare provider. based in Quincy, Massachusetts. specializing in Radiation Oncology Physician. They hold a License No. 212734 (MA). The NPI Number for Unknown Individual is 1467459321

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1467459321
Phone
(800) 258-4674
Address
700 CONGRESS ST
Deactivation Date
12 April 2023

Doctor Profile

Medical School Name
HAHNEMAN MEDICAL COLLEGE OF THE PACIFIC
Secondary Phone
5087462000
Graduation Year
1978 (48 years ago)
PAC ID
8123162997
Group Practice PAC ID
1254321086
Professional Enrollment ID
I20100217000188
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

  • Shields Medical Building, 700, Congress Street, South Quincy, Quincy, Norfolk County, Massachusetts, 02269, United States

    SUITE 101

    QUINCY, MA 021690909

    Phone: (800) 258-4674

    Type: Mailing

  • 275 SANDWICH ST

    PLYMOUTH, MA 023602183

    Phone: (508) 830-2575

    Type: Mailing

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.

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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 02169)

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Provider's Procedures

Unknown Individual performs procedures in Radiation Oncology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYMA77263Management of radiation therapy, complex9290
RADIATION ONCOLOGYMA77300Calculation of radiation therapy dose8511
RADIATION ONCOLOGYMA77427Radiation treatment management, 5 treatments8634

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: 1254321086View full group profile
NameSpecialtyState
DR. IRINA GUREVICH (M.D.)
H E M A T O L O G Y/ O N C O L O G YMA
MR. WILLIAM BRIAN GORSUCH (PAC)
Physician AssistantMA
MRS. AGNES GERALYN DENSMORE (CNM)
Certified Nurse Midwife (Cnm)MA
KIMBERLY MCBRIDE JOHNSON (P.A.)
Physician AssistantMO
AMY PIKE GIANINO
Nurse PractitionerMA
REBECCA M WEAVER (M.D.)
Thoracic SurgeryMA
DR. THOMAS CAUGHEY (MD)
H E M A T O L O G Y/ O N C O L O G YMA
DR. MARTIN ABRAMS (M.D.)
-MA
DR. MADHU SIDDESWARAPPA (M.D)
General SurgeryMA
CAITLIN JULIA MARCHENKO (NP)
Nurse PractitionerMA

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1467459321.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Quincy, Massachusetts?
If you are local to Quincy, Massachusetts, Unknown Individual may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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