Unknown Individual – Diagnostic Radiology Physician, NPI 1285694364
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 553445349
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Mailing
1101, 6th Avenue, Fairmount, Fort Worth, Tarrant County, Texas, 76101, United States
FORT WORTH, TX 761044306
Phone: (817) 336-4638
Fax: (817) 336-7637
Type: Mailing
5100, North Branch Drive, Fort Worth, Tarrant County, Texas, 76132, United States
FORT WORTH, TX 761323745
Phone: (817) 235-6561
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 660 | 583 | $0 |
| 77067 | Screening mammography | 311 | 311 | $0 |
| 71046 | X-ray of chest, 2 views | 246 | 239 | $0 |
| 77063 | Screening 3d breast mammography | 188 | 188 | $0 |
| 70450 | Ct scan head or brain without contrast | 141 | 133 | $0 |
Insurance plans in this area (ZIP 55344)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | TX | 71250 | CT scan chest | 93 | 90 |
| DIAGNOSTIC RADIOLOGY | TX | 73110 | X-ray of wrist, minimum of 3 views | 18 | 17 |
| DIAGNOSTIC RADIOLOGY | TX | 73562 | X-ray of knee, 3 views | 18 | 18 |
| DIAGNOSTIC RADIOLOGY | TX | 74177 | CT scan of abdomen and pelvis with contrast | 74 | 74 |
| DIAGNOSTIC RADIOLOGY | TX | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 28 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Interventional Radiology | TX | |
| Diagnostic Radiology | WV | |
| - | OH | |
| - | OH |
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.