Unknown Individual – Diagnostic Radiology Physician, NPI 1437107588

Unknown Individual is a healthcare provider. based in Greenville, Texas. specializing in Diagnostic Radiology Physician. They hold a License No. H6364 (TX). The NPI Number for Unknown Individual is 1437107588

Main info

Organization
Inactive
37 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1437107588
Phone
(800) 945-2455
Address
PO BOX 1888
Deactivation Date
27 January 2021

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
9566617100
Graduation Year
1989 (37 years ago)
PAC ID
2668376351
Group Practice PAC ID
0345571881
Professional Enrollment ID
I20031124000632
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

  • Greenville Post Office, 600, West Washington Street, Downtown, Greenville, Greenville County, South Carolina, 29602, United States

    GREENVILLE, TX 754031888

    Phone: (800) 945-2455

    Fax: (903) 453-2541

    Type: Mailing

  • Nacogdoches Medical Center, 4920, Northeast Stallings Drive, Nacogdoches, Nacogdoches County, Texas, 75965, United States

    NACOGDOCHES, TX 759651254

    Phone: (936) 462-4245

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-02-09 • Largest payer in this snapshot: Pharmacyclics LLC, an AbbVie Company ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-09

Latest reported date

Top Companies

Largest payers in this snapshot

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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 75403)

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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 RADIOLOGYTX71250CT scan chest2626
DIAGNOSTIC RADIOLOGYTX73110X-ray of wrist, minimum of 3 views1212
DIAGNOSTIC RADIOLOGYTX73562X-ray of knee, 3 views2621
DIAGNOSTIC RADIOLOGYTX74177CT scan of abdomen and pelvis with contrast104103
DIAGNOSTIC RADIOLOGYTX78815Nuclear medicine study with CT imaging skull base to mid-thigh1111

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: 0345571881View full group profile

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1437107588.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Greenville, Texas?
If you are local to Greenville, Texas, Unknown Individual may be relevant to your search.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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