Unknown Individual – Diagnostic Radiology Physician, NPI 1548231939
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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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
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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
| Company | Amount |
|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $21 |
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 583 | 524 | $0 |
| 71046 | X-ray of chest, 2 views | 351 | 344 | $0 |
| 77067 | Screening mammography | 230 | 230 | $0 |
| 77063 | Screening 3d breast mammography | 228 | 228 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 103 | 103 | $0 |
Insurance plans in this area (ZIP 75505)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | LA | 71250 | CT scan chest | 189 | 184 |
| DIAGNOSTIC RADIOLOGY | LA | 73110 | X-ray of wrist, minimum of 3 views | 26 | 26 |
| DIAGNOSTIC RADIOLOGY | LA | 73562 | X-ray of knee, 3 views | 24 | 21 |
| DIAGNOSTIC RADIOLOGY | LA | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 88 | 84 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| - | TX | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology, Internal Medicine | MS | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | LA | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | LA | |
| Diagnostic Radiology | TX | |
| Nurse Practitioner | LA |
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