Unknown Individual – Diagnostic Radiology Physician, NPI 1255359071

Unknown Individual is a healthcare provider. based in Cranston, Rhode Island. specializing in Diagnostic Radiology Physician. They hold a License No. 43784 (CT). The NPI Number for Unknown Individual is 1255359071

Main info

Organization
Inactive
26 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1255359071
Phone
(401) 886-4872
Address
65 SOCKANOSSET CROSS RD
Deactivation Date
4 December 2025

Doctor Profile

Medical School Name
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Secondary Phone
3153765200
Graduation Year
2000 (26 years ago)
PAC ID
4486662814
Group Practice PAC ID
5395179329
Professional Enrollment ID
I20060328000001
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 65, Sockanosset Cross Road, Sockanosset, Cranston, Providence County, Rhode Island, 02920, United States

    CRANSTON, RI 029205536

    Phone: (401) 886-4872

    Fax: (888) 779-7670

    Type: Location

  • 65 Sockanosset Cross Rd

    Cranston, RI 029205536

    Phone: (401) 886-4872

    Fax: (888) 779-7670

    Type: Location

  • 24 HOSPITAL AVE

    DANBURY, CT 068106099

    Phone: (203) 739-7532

    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
71045X-ray of chest, 1 view134117$0
70450Ct scan head or brain without contrast118114$0
71046X-ray of chest, 2 views5555$0
71275Ct scan of blood vessels of chest with contrast4342$0
70551Mri scan of brain without contrast3939$0
View full utilization report →

Insurance plans in this area (ZIP 02920)

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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: 5395179329View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Nuclear Medicine, Diagnostic RadiologyIL
Diagnostic RadiologyCA
Diagnostic Radiology, Interventional RadiologyIL
Interventional Radiology, Diagnostic RadiologyCA
Diagnostic RadiologyIL
-CO
Diagnostic RadiologyDE
Diagnostic RadiologyIL
Diagnostic RadiologyMN

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1255359071.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Diagnostic Radiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Cranston, Rhode Island in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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