Unknown Individual – Diagnostic Radiology Physician, NPI 1073584298

Unknown Individual is a healthcare provider. based in Warwick, Rhode Island. specializing in Diagnostic Radiology Physician. They hold a License No. 09471 (RI). The NPI Number for Unknown Individual is 1073584298

Main info

Organization
Inactive
34 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1073584298
Phone
(401) 432-2500
Address
125 METRO CENTER BLVD STE 2000
Deactivation Date
10 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4018848125
Graduation Year
1992 (34 years ago)
PAC ID
6608833348
Group Practice PAC ID
8022097815
Professional Enrollment ID
I20041215000021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience18
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Metro Center Boulevard, Warwick, Kent County, Rhode Island, 02886, United States

    WARWICK, RI 028861785

    Phone: (401) 432-2500

    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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02886)

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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 RADIOLOGYRI73110X-ray of wrist, minimum of 3 views2318
DIAGNOSTIC RADIOLOGYRI73562X-ray of knee, 3 views2019
DIAGNOSTIC RADIOLOGYRI73630X-ray of foot, minimum of 3 views5549
DIAGNOSTIC RADIOLOGYRI74177CT scan of abdomen and pelvis with contrast111107

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: 8022097815View full group profile
NameSpecialtyState
Diagnostic RadiologyRI
Diagnostic RadiologyRI
Diagnostic RadiologyRI
Diagnostic RadiologyMA
Diagnostic RadiologyRI
Diagnostic RadiologyRI
Diagnostic RadiologyRI
Diagnostic RadiologyRI
Diagnostic Radiology, Nuclear MedicineRI
Diagnostic RadiologyMA

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1073584298; it appears in the national provider directory.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What kind of provider is Unknown Individual?
The page reflects Diagnostic Radiology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Rhode Island?
You will see Warwick, Rhode Island on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1073584298. Always confirm identity and privileges with the practice and licensing boards.

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