Unknown Individual – Diagnostic Radiology Physician, NPI 1285652628

Unknown Individual is a healthcare provider. based in Omaha, Nebraska. specializing in Diagnostic Radiology Physician. They hold a License No. 16405 (NE). The NPI Number for Unknown Individual is 1285652628

Main info

Organization
Inactive
43 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1285652628
Phone
(402) 397-6344
Address
7831 WAKELEY PLAZA
Deactivation Date
25 December 2025

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4023900606
Graduation Year
1983 (43 years ago)
PAC ID
2264593516
Group Practice PAC ID
1759330731
Professional Enrollment ID
I20081208000022
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

  • 7831, Wakeley Plaza, Omaha, Douglas County, Nebraska, 68114, United States

    OMAHA, NE 68114

    Phone: (402) 397-6344

    Fax: (402) 397-6407

    Mailing address matches the actual address.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view570492$0
71046X-ray of chest, 2 views396385$0
70553Mri scan of brain before and after contrast257245$0
74177Ct scan of abdomen and pelvis with contrast181174$0
70450Ct scan head or brain without contrast176171$0
View full utilization report →

Insurance plans in this area (ZIP 68114)

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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 RADIOLOGYNE73562X-ray of knee, 3 views2219

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: 1759330731View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional Radiology, Nuclear MedicineNE
Diagnostic RadiologyNE
Diagnostic RadiologyCO
Diagnostic RadiologyNE
Diagnostic RadiologyNE
Diagnostic RadiologyNE
Diagnostic RadiologyNE
Diagnostic RadiologyIA
Diagnostic RadiologyNE
Diagnostic RadiologyNE

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1285652628?
NPI 1285652628 belongs to Unknown Individual; compare other details if you need extra assurance.
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 expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Omaha?
Public fields place Unknown Individual around Omaha, Nebraska. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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