Unknown Individual – Diagnostic Radiology Physician, NPI 1336148956

Unknown Individual is a healthcare provider. based in Spokane, Washington. specializing in Diagnostic Radiology Physician. They hold a License No. MD60808480 (WA). The NPI Number for Unknown Individual is 1336148956

Main info

Organization
Inactive
26 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1336148956
Phone
(509) 747-4455
Address
801 S STEVENS ST
Deactivation Date
1 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
5093637745
Graduation Year
2000 (26 years ago)
PAC ID
0547201857
Group Practice PAC ID
1355593062
Professional Enrollment ID
I20180327001228
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

  • Inland Imaging Business Center, 801, South Stevens Street, Cliff–Cannon, Spokane, Spokane County, Washington, 99201, United States

    SPOKANE, WA 992042654

    Phone: (509) 747-4455

    Fax: (509) 363-7064

    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
A9585Injection, gadobutrol, 0.1 ml1,61325$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml37241$0
73030X-ray of shoulder, minimum of 2 views272249$0
73502X-ray of hip, 2-3 views241241$0
73721Mri scan of leg joint without contrast209202$0
View full utilization report →

Insurance plans in this area (ZIP 99204)

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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: 1355593062View full group profile

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1336148956 uniquely identifies Unknown Individual in U.S. healthcare data.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Spokane, Washington in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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