Unknown Individual – Diagnostic Radiology Physician, NPI 1962496414

Unknown Individual is a healthcare provider. based in San antonio, Texas. specializing in Diagnostic Radiology Physician. They hold a License No. E0537 (TX). The NPI Number for Unknown Individual is 1962496414

Main info

Organization
Inactive
60 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1962496414
Phone
(210) 497-1406
Address
3346 SABLE CRK
Deactivation Date
5 June 2024

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
86621837545002
Graduation Year
1966 (60 years ago)
PAC ID
6800793001
Group Practice PAC ID
2062734858
Professional Enrollment ID
I20031216000631
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

  • 3346, Sable Creek, Stone Oak, San Antonio, Bexar County, Texas, 78259, United States

    SAN ANTONIO, TX 782592219

    Phone: (210) 497-1406

    Mailing address matches the actual address.

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 view196189$0
74018X-ray of abdomen, 1 view1212$0
View full utilization report →

Insurance plans in this area (ZIP 78259)

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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: 2062734858View full group profile

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1962496414 for Unknown Individual.
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.
Can patients visit Unknown Individual in San Antonio, Texas?
For routing, start with San Antonio, Texas for Unknown Individual, then verify phone and hours locally.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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