Unknown Individual – Diagnostic Radiology Physician, NPI 1598745150

Unknown Individual is a healthcare provider. based in Bellefontaine, Ohio. specializing in Diagnostic Radiology Physician. They hold a License No. 35.041676 (OH). The NPI Number for Unknown Individual is 1598745150

Main info

Organization
Inactive
50 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1598745150
Phone
(937) 592-4015
Address
205 E PALMER RD
Deactivation Date
15 May 2025

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9375924015
Graduation Year
1976 (50 years ago)
PAC ID
8224092457
Group Practice PAC ID
6901860295
Professional Enrollment ID
I20041117000109
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

  • Mary Rutan Hospital, 205, East Palmer Road, Bellefontaine, Lake Township, Logan County, Ohio, 43311, United States

    BELLEFONTAINE, OH 433112281

    Phone: (937) 592-4015

    Type: Location

  • Lima Post Office, 7275, West Main Street, Village of Lima, Town of Lima, Livingston County, New York, 14485, United States

    LIMA, OH 458021049

    Phone: (419) 224-5707

    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.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43311)

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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 RADIOLOGYOH71010X-ray of chest, 1 view, front487373
DIAGNOSTIC RADIOLOGYOH73110X-ray of wrist, minimum of 3 views3635
DIAGNOSTIC RADIOLOGYOH73562X-ray of knee, 3 views1313

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: 6901860295View full group profile
NameSpecialtyState
Diagnostic RadiologyTX

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1598745150 if you need a stable reference for Unknown Individual.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What kind of provider is Unknown Individual?
The page reflects Diagnostic Radiology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Ohio?
You will see Bellefontaine, Ohio on file for Unknown Individual alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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