Unknown Individual – Diagnostic Radiology Physician, NPI 1295788669
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
PO BOX 4930
TULSA, OK 741590930
Phone: (918) 747-4975
Fax: (918) 743-8552
Type: Mailing
5801 E 41ST ST STE 900
TULSA, OK 741355631
Phone: (918) 747-4975
Fax: (918) 743-8552
Type: Location
Southeast Tulsa Post Office, 9023, East 46th Street, Tulsa, Oklahoma, 74145, United States
TULSA, OK 741590939
Phone: (918) 743-8943
Fax: (918) 743-9058
Type: Mailing
South Darlington Avenue East, Highland Park, Tulsa, Oklahoma, 74135, United States
STE 700
TULSA, OK 741356349
Phone: (918) 747-4975
Fax: (918) 743-9058
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $1,630.
Total Amount is formed as General ($1,630) + Research ($0) + Ownership ($0) = $1,630.
Last reported payment date: 2024-02-14 • Largest payer in this snapshot: TriSalus Life Sciences, Inc. ($388).
Total Amount
$1,630
General + Research + Ownership
Payments
23
Total payment records
General Amount
$1,630
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TriSalus Life Sciences, Inc. | $388 |
| Sirtex Medical Inc | $238 |
| Bard Peripheral Vascular, Inc. | $236 |
| Imperative Care, Inc | $206 |
| Boston Scientific Corporation | $162 |
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71046 | X-ray of chest, 2 views | 181 | 177 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 172 | 164 | $0 |
| 74230 | Imaging for evaluation of swallowing function | 131 | 125 | $0 |
| 71045 | X-ray of chest, 1 view | 84 | 82 | $0 |
| 77012 | Review by radiologist of ct guidance for needle placement | 59 | 59 | $0 |
Insurance plans in this area (ZIP 74159)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Medical Oncology | OK | |
| Gynecological Oncology, Obstetrics/Gynecology | OK | |
| - | OK | |
| Nurse Practitioner | OK | |
| - | OK | |
| - | OK | |
| - | OK | |
| Surgical Oncology, General Surgery | OK | |
| - | OK | |
| Radiation Oncology | OK |
Reviews
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