Unknown Individual – Diagnostic Radiology Physician, NPI 1326021106

Unknown Individual is a healthcare provider. based in Tulsa, Oklahoma. specializing in Diagnostic Radiology Physician. They hold a License No. 13714 (OK). The NPI Number for Unknown Individual is 1326021106

Main info

Organization
Inactive
45 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1326021106
Phone
(918) 743-8943
Address
PO BOX 4939
Deactivation Date
27 December 2023

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
9187438943
Graduation Year
1981 (45 years ago)
PAC ID
8426945262
Group Practice PAC ID
1658260492
Professional Enrollment ID
I20040922000727

Contacts

FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Secure Messaging
twhite224460@direct-ehr-ssmhc.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • 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

  • Rivercross Healthcare, 4111, South Darlington Avenue, Max Campbell V, Tulsa, Oklahoma, 74135, United States

    STE 700

    TULSA, OK 741356348

    Phone: (918) 743-8943

    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)

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
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes10796$0
76937Ultrasonic guidance for blood vessel access10391$0
36902Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist6158$0
36901Insertion of needle and/or tube into hemodialysis circuit with review by radiologist2222$0
77001Fluoroscopic guidance for insertion or removal of central vein access device1919$0
View full utilization report →

Insurance plans in this area (ZIP 74159)

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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 RADIOLOGYOK77012Radiological supervision and interpretation of CT guidance for needle insertion3131

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: 1658260492View full group profile

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1326021106 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Diagnostic Radiology Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Tulsa, Oklahoma in the data we show; additional addresses may exist on the full record.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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