Unknown Individual – Diagnostic Radiology Physician, NPI 1174834394

Unknown Individual is a healthcare provider. based in Orem, Utah. specializing in Diagnostic Radiology Physician. They hold a License No. 973528-1205 (UT). The NPI Number for Unknown Individual is 1174834394

Main info

Organization
Inactive
16 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1174834394
Phone
(801) 225-6246
Address
560 W 800 N
Deactivation Date
22 May 2024

Doctor Profile

Medical School Name
CHICAGO COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
8018553300
Graduation Year
2010 (16 years ago)
PAC ID
4385950344
Group Practice PAC ID
1759286990
Professional Enrollment ID
I20160511001836
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 560 W 800 N

    OREM, UT 840573746

    Phone: (801) 225-6246

    Fax: (801) 225-1525

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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
74177Ct scan of abdomen and pelvis with contrast6463$0
71045X-ray of chest, 1 view3029$0
71275Ct scan of blood vessels of chest with contrast2121$0
70450Ct scan head or brain without contrast1919$0
74176Ct scan of abdomen and pelvis without contrast1919$0
View full utilization report →

Insurance plans in this area (ZIP 84057)

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 RADIOLOGYUT71250CT scan chest1919
DIAGNOSTIC RADIOLOGYUT73562X-ray of knee, 3 views1815
DIAGNOSTIC RADIOLOGYUT93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers3030

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: 1759286990View full group profile
NameSpecialtyState
Diagnostic RadiologyUT
Diagnostic RadiologyNM
Diagnostic RadiologyUT
Diagnostic RadiologyUT
Diagnostic RadiologyUT
Diagnostic RadiologyUT
Diagnostic RadiologyUT
Diagnostic RadiologyUT
Diagnostic RadiologyUT
Diagnostic RadiologyUT

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

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1174834394.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Diagnostic Radiology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Orem, Utah?
If you are local to Orem, Utah, Unknown Individual may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

Similar Providers

DR. GARY VAUGHAN HALVERSEN (M.D.)

Diagnostic Radiology Physician
560W 800 N
NPI: 1487625869

MATTHEW ALLAN MCNAIRY (MD)

Diagnostic Radiology Physician
560, West 800 North, Orem Station, Orem, Utah County, Utah, 84057, United States
NPI: 1265404834

DR. BARRY M BIRKIN (MD)

Diagnostic Radiology Physician
PO BOX 657
NPI: 1144289521

DR. BILLY JOE BARDIN (MD)

Diagnostic Radiology Physician
283, East 930 South, Lincoln, Orem, Utah County, Utah, 84058, United States
NPI: 1841250040

DR. JOHN C OLSON (MD)

Diagnostic Radiology Physician
560, West 800 North, Orem Station, Orem, Utah County, Utah, 84057, United States
NPI: 1932169604

DR. DAVID R COTTAM (M.D.)

Diagnostic Radiology Physician
560, West 800 North, Orem Station, Orem, Utah County, Utah, 84057, United States
NPI: 1356309512

UTAH VALLEY RADIOLOGY ASSOCIATES INC

Diagnostic Radiology Physician
PO BOX 657
NPI: 1265483598

WILLIAM BRADLEY HALE (M.D.)

Diagnostic Radiology Physician
560, West 800 North, Orem Station, Orem, Utah County, Utah, 84057, United States
NPI: 1689625097
283, East 930 South, Lincoln, Orem, Utah County, Utah, 84058, United States
NPI: 1720039928