Unknown Individual – Diagnostic Radiology Physician, NPI 1205924941

Unknown Individual is a healthcare provider. based in Kennewick, Washington. specializing in Diagnostic Radiology Physician. They hold a License No. 30054 (WA). The NPI Number for Unknown Individual is 1205924941

Main info

Organization
Inactive
49 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1205924941
Phone
(509) 374-4030
Address
7221 W DESCHUTES AVE
Deactivation Date
2 December 2022

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Secondary Phone
5093744030
Graduation Year
1977 (49 years ago)
PAC ID
5890699243
Group Practice PAC ID
5496659815
Professional Enrollment ID
I20031126000307
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

  • West Deschutes Avenue, Kennewick, Benton County, Washington, 99301, United States

    SUITE A

    KENNEWICK, WA 993367807

    Phone: (509) 374-4030

    Fax: (509) 374-8690

    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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99336)

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 RADIOLOGYWA71250CT scan chest1515
DIAGNOSTIC RADIOLOGYWA74177CT scan of abdomen and pelvis with contrast2019
DIAGNOSTIC RADIOLOGYWA93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers1717

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: 5496659815View full group profile

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 federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1205924941.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Kennewick, Washington for Unknown Individual; expand the address list for detail.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

Similar Providers

Amarillo, Villa Verde Homes, Santa Monica, 5th District, Quezon City, Metro Manila, 1117, Philippines
NPI: 1063463784

DR. RICHARD JINHO RHEE (MD)

Diagnostic Radiology Physician
4283 EXPRESS LANE SUITE 643-860
NPI: 1952355729

STEVEN J SUNDERLAND (MD)

Diagnostic Radiology Physician
West Deschutes Avenue, Kennewick, Benton County, Washington, 99301, United States
NPI: 1194839068

TRI CITY RADIOLOGY INC PS

Diagnostic Radiology Physician
West Deschutes Avenue, Kennewick, Benton County, Washington, 99301, United States
NPI: 1992819866

DR. LON SIDNEY JR. WELCH (M.D.)

Diagnostic Radiology Physician
1304 Fawcett Ave Ste 100
NPI: 1528172400

DR. ALAN KEITH FORD (MD)

Diagnostic Radiology Physician
Amarillo, Villa Verde Homes, Santa Monica, 5th District, Quezon City, Metro Manila, 1117, Philippines
NPI: 1679680532

DR. CLARENCE B II MAY (MD)

Diagnostic Radiology Physician
West Deschutes Avenue, Kennewick, Benton County, Washington, 99301, United States
NPI: 1871694059

Unknown Individual

Diagnostic Radiology Physician
12116 102ND AVENUE CT NW
NPI: 1417095605

DIAGNOSTIC IMAGING ASSOCIATES

Diagnostic Radiology Physician
PO BOX 6128
NPI: 1881714665