Unknown Individual – Radiation Oncology Physician, NPI 1962406512

Unknown Individual is a healthcare provider. based in Scranton, Pennsylvania. specializing in Radiation Oncology Physician. They hold a License No. 150816 (PA). The NPI Number for Unknown Individual is 1962406512

Main info

Organization
Inactive
52 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1962406512
Phone
(570) 451-3910
Address
PO BOX 3926
Deactivation Date
7 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1974 (52 years ago)
PAC ID
5395636567
Professional Enrollment ID
I20040525000195

Contacts

Secure Messaging
Chitti.Moorthy@wmchealth.cernerdirect.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

  • PO BOX 3926

    SCRANTON, PA 185050926

    Phone: (570) 451-3910

    Fax: (570) 451-3236

    Type: Mailing

  • Westchester Medical Center, 100, Woods Road, Mount Pleasant, Town of Mount Pleasant, Westchester, New York, 10595, United States

    VALHALLA, NY 105951530

    Phone: (914) 493-8561

    Fax: (914) 493-8352

    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.

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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
99214Established patient office or other outpatient visit, 30-39 minutes3225$0
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Insurance plans in this area (ZIP 18505)

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Provider's Procedures

Unknown Individual performs procedures in Radiation Oncology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYNY77427Radiation treatment management, 5 treatments13032

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1962406512.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Radiation Oncology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Scranton, Pennsylvania in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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