Unknown Individual – Diagnostic Radiology Physician, NPI 1598764490

Unknown Individual is a healthcare provider. based in Dayton, Ohio. specializing in Diagnostic Radiology Physician. They hold a License No. 35073974 (OH). The NPI Number for Unknown Individual is 1598764490

Main info

Organization
Inactive
33 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1598764490
Phone
(937) 433-7622
Address
2591 MIAMISBURG CENTERVILLE RD
Deactivation Date
1 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4172696000
Graduation Year
1993 (33 years ago)
PAC ID
7517868482
Group Practice PAC ID
8628092897
Professional Enrollment ID
I20180124001112
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 2591 MIAMISBURG CENTERVILLE RD

    STE. 302

    DAYTON, OH 454593711

    Phone: (937) 433-7622

    Fax: (937) 433-7656

    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.

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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.

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 45459)

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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
INTERVENTIONAL RADIOLOGYOH71010X-ray of chest, 1 view, front401357
INTERVENTIONAL RADIOLOGYOH71250CT scan chest121120
INTERVENTIONAL RADIOLOGYOH74177CT scan of abdomen and pelvis with contrast213200
INTERVENTIONAL RADIOLOGYOH93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers8278

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: 8628092897View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YIL
-NC
Nurse PractitionerMO
Physician AssistantMO
Nurse PractitionerMO
General SurgeryMO
O T O L A R Y N G O L O G YWA
General SurgeryMO
N E P H R O L O G YMO
Physician AssistantMO

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1598764490 when you need to reference Unknown Individual in forms, claims, or directories.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Diagnostic Radiology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Dayton, Ohio for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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