Unknown Individual – Radiation Oncology Physician, NPI 1730137647

Unknown Individual is a healthcare provider. based in Amarillo, Texas. specializing in Radiation Oncology Physician. They hold a License No. H7788 (TX). The NPI Number for Unknown Individual is 1730137647

Main info

Organization
Inactive
57 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1730137647
Phone
(806) 354-5880
Address
1500 WALLACE BLVD
Deactivation Date
29 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9155731300
Graduation Year
1969 (57 years ago)
PAC ID
9830148725
Group Practice PAC ID
6901889393
Professional Enrollment ID
I20050118000792
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

  • 1500, Wallace Boulevard, Amarillo, Potter County, Texas, 79106, United States

    AMARILLO, TX 791061794

    Phone: (806) 354-5880

    Fax: (806) 354-5890

    Type: Location

  • King's Compounding Pharmacy, 1600, South Coulter Street, Amarillo, Potter County, Texas, 79106, United States

    SUITE, #402

    AMARILLO, TX 791061721

    Phone: (806) 355-7267

    Fax: (806) 355-1823

    Type: Mailing

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 79106)

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Provider's Procedures

Unknown Individual performs procedures in Radiation Oncology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYTX77263Management of radiation therapy, complex5756
RADIATION ONCOLOGYTX77300Calculation of radiation therapy dose76755
RADIATION ONCOLOGYTX77427Radiation treatment management, 5 treatments27451

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: 6901889393View full group profile
NameSpecialtyState
N E U R O S U R G E R YTX
H E M A T O L O G Y/ O N C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX
Diagnostic RadiologyTX
Internal MedicineTX
-TX
Physician AssistantTX
N E U R O S U R G E R YTX
Nurse PractitionerTX

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1730137647.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Amarillo, Texas in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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Unknown Individual

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NPI: 1629026521

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