Unknown Individual – Diagnostic Radiology Physician, NPI 1013928258

Unknown Individual is a healthcare provider. based in Columbus, Ohio. specializing in Diagnostic Radiology Physician. They hold a License No. 34-005047 (OH). The NPI Number for Unknown Individual is 1013928258

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1013928258
Phone
(614) 396-4750
Address
100 E CAMPUS VIEW BLVD
Deactivation Date
3 July 2024

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
6145448000
Graduation Year
1987 (39 years ago)
PAC ID
7012813587
Group Practice PAC ID
8729976964
Professional Enrollment ID
I20031208000610
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

  • 100, East Campus View Boulevard, Crosswoods, Columbus, Sharon, Franklin County, Ohio, 43235, United States

    STE 160

    COLUMBUS, OH 432354647

    Phone: (614) 396-4750

    Fax: (614) 396-4742

    Type: Mailing

  • Olentangy River Rd, Knolls-Thomas, Columbus, Sharon, Franklin, Ohio, 43214, United States

    STE 5360

    COLUMBUS, OH 432143937

    Phone: (614) 340-7747

    Fax: (614) 340-7742

    Type: Location

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
70450Ct scan head or brain without contrast409401$0
71045X-ray of chest, 1 view253240$0
71271Low dose ct scan of chest for lung cancer screening174174$0
70498Ct scan of blood vessels of neck with contrast9292$0
72125Ct scan of upper spine without contrast8888$0
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Insurance plans in this area (ZIP 43235)

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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 RADIOLOGYOH73110X-ray of wrist, minimum of 3 views2928
DIAGNOSTIC RADIOLOGYOH73562X-ray of knee, 3 views2522
DIAGNOSTIC RADIOLOGYOH73630X-ray of foot, minimum of 3 views4743
DIAGNOSTIC RADIOLOGYOH74177CT scan of abdomen and pelvis with contrast113113

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: 8729976964View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyWI
Diagnostic RadiologyOH
Diagnostic RadiologyMI
Diagnostic RadiologyNY
Diagnostic RadiologyOH
Diagnostic RadiologyOH
Diagnostic RadiologyHI
Diagnostic RadiologyFL
Diagnostic RadiologyMI
Diagnostic RadiologyAZ

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1013928258.
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 kind of doctor is Unknown Individual?
Unknown Individual is associated with Diagnostic Radiology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Columbus, Ohio.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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