Unknown Individual – Diagnostic Radiology Physician, NPI 1487835237

Unknown Individual is a healthcare provider. based in Medford, Oregon. specializing in Diagnostic Radiology Physician. They hold a License No. MD150750 (OR). The NPI Number for Unknown Individual is 1487835237

Main info

Organization
Inactive
22 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1487835237
Phone
(541) 773-2493
Address
842 E MAIN ST
Deactivation Date
11 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5412698111
Graduation Year
2004 (22 years ago)
PAC ID
5395896062
Group Practice PAC ID
2062303324
Professional Enrollment ID
I20100909001244
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

  • 842, East Main Street, Medford, Jackson County, Oregon, 97501, United States

    MEDFORD, OR 975047134

    Phone: (541) 773-2493

    Fax: (541) 779-3027

    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.

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
A9585Injection, gadobutrol, 0.1 ml1,53020$0
71045X-ray of chest, 1 view624440$0
71046X-ray of chest, 2 views343314$0
70450Ct scan head or brain without contrast131129$0
72148Mri scan of lower spinal canal without contrast121121$0
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Insurance plans in this area (ZIP 97504)

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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 RADIOLOGYOR71250CT scan chest153134
DIAGNOSTIC RADIOLOGYOR73110X-ray of wrist, minimum of 3 views2120
DIAGNOSTIC RADIOLOGYOR73562X-ray of knee, 3 views3828
DIAGNOSTIC RADIOLOGYOR73630X-ray of foot, minimum of 3 views3932
DIAGNOSTIC RADIOLOGYOR74177CT scan of abdomen and pelvis with contrast187180
DIAGNOSTIC RADIOLOGYOR78815Nuclear medicine study with CT imaging skull base to mid-thigh3434
DIAGNOSTIC RADIOLOGYOR93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers1919

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: 2062303324View full group profile
NameSpecialtyState
Diagnostic RadiologyOR
Diagnostic RadiologyOR
Diagnostic RadiologyWA
Diagnostic RadiologyOR
Diagnostic RadiologyOR
Physician AssistantOR
Diagnostic RadiologyAR
Interventional Radiology, Diagnostic RadiologyOR
Diagnostic RadiologyOR
Diagnostic RadiologyWA

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1487835237 when you need to reference Unknown Individual in forms, claims, or directories.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Oregon?
You will see Medford, Oregon 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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