Unknown Individual – Diagnostic Radiology Physician, NPI 1548231939

Unknown Individual is a healthcare provider. based in Texarkana, Texas. specializing in Diagnostic Radiology Physician. They hold a License No. 03419R (LA). The NPI Number for Unknown Individual is 1548231939

Main info

Organization
Inactive
56 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1548231939
Phone
(877) 243-8416
Address
PO BOX 9600
Deactivation Date
20 December 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
3182124550
Graduation Year
1970 (56 years ago)
PAC ID
6800986324
Group Practice PAC ID
1355303363
Professional Enrollment ID
I20100628001089
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

Loading map...

Provider Addresses for Unknown Individual

  • PO BOX 9600

    DEPT 09-033

    TEXARKANA, TX 755059600

    Phone: (877) 243-8416

    Type: Mailing

  • Willis-Knighton Medical Center, 2600, Greenwood Road, Shreveport, Caddo Parish, Louisiana, 71103, United States

    SHREVEPORT, LA 711033908

    Phone: (318) 212-4550

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-02-22 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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 view583524$0
71046X-ray of chest, 2 views351344$0
77067Screening mammography230230$0
77063Screening 3d breast mammography228228$0
72100X-ray of lower and sacral spine, 2-3 views103103$0
View full utilization report →

Insurance plans in this area (ZIP 75505)

Loading plans...

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 RADIOLOGYLA71250CT scan chest189184
DIAGNOSTIC RADIOLOGYLA73110X-ray of wrist, minimum of 3 views2626
DIAGNOSTIC RADIOLOGYLA73562X-ray of knee, 3 views2421
DIAGNOSTIC RADIOLOGYLA78815Nuclear medicine study with CT imaging skull base to mid-thigh8884

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: 1355303363View full group profile
NameSpecialtyState
-SC
-TX
Diagnostic RadiologyTX
Diagnostic Radiology, Internal MedicineMS
Diagnostic RadiologyMN
Diagnostic RadiologyLA
Diagnostic RadiologyMN
Diagnostic RadiologyLA
Diagnostic RadiologyTX
Nurse PractitionerLA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1548231939 uniquely identifies Unknown Individual in U.S. healthcare data.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Texarkana, Texas in registry-derived data.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

5002, Cowhorn Creek Road, Texarkana, Bowie County, Texas, 75503, United States
NPI: 1376543264
5002, Cowhorn Creek Road, Texarkana, Bowie County, Texas, 75503, United States
NPI: 1578563987

DR. WILLIAM RANDALL BROWN (M.D.)

Diagnostic Radiology Physician
5508, Summerhill Road, Texarkana, Bowie County, Texas, 75503, United States
NPI: 1245231885

DR. MICHAEL HILL (M.D.)

Diagnostic Radiology Physician
PO BOX 1325
NPI: 1962403501

DR. STEVEN HOLMAN (M.D.)

Diagnostic Radiology Physician
PO BOX 1325
NPI: 1124029764

DR. ROBERT MACK (M.D.)

Diagnostic Radiology Physician
5508, Summerhill Road, Texarkana, Bowie County, Texas, 75503, United States
NPI: 1588665129

DR. CHRISTOPHER MCMILLAN (M.D.)

Diagnostic Radiology Physician
PO BOX 1325
NPI: 1578564118

DR. DONALD MCMILLAN (M.D.)

Diagnostic Radiology Physician
5508, Summerhill Road, Texarkana, Bowie County, Texas, 75503, United States
NPI: 1740281385

DR. DOUGLAS TRIPPE (M.D.)

Diagnostic Radiology Physician
816 W CANNON ST
NPI: 1093716631