Unknown Individual – Diagnostic Radiology Physician, NPI 1144591066

Unknown Individual is a healthcare provider. based in Columbus, Ohio. specializing in Diagnostic Radiology Physician. They hold a License No. 35024921 (OH). The NPI Number for Unknown Individual is 1144591066

Main info

Organization
Inactive
68 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1144591066
Phone
Not provided
Address
PO BOX 29547
Deactivation Date
9 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
86621837545002
Graduation Year
1958 (68 years ago)
PAC ID
3779743729
Group Practice PAC ID
2062734858
Professional Enrollment ID
I20120328000676
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • PO BOX 29547

    COLUMBUS, OH 432290547

    Phone:

    Type: Mailing

  • 2142 MAPLE BND

    COLUMBUS, OH 432296809

    Phone: (614) 578-2243

    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.

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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.

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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 43229)

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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: 2062734858View full group profile

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1144591066 — the number used across U.S. healthcare to identify this provider.
Who updates status for Unknown Individual?
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.
Where in Ohio is Unknown Individual registered?
Use Columbus, Ohio as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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