Unknown Individual – Diagnostic Radiology Physician, NPI 1487997151

Unknown Individual is a healthcare provider. based in Milwaukee, Wisconsin. specializing in Diagnostic Radiology Physician. They hold a License No. 01081713A (IN). The NPI Number for Unknown Individual is 1487997151

Main info

Organization
Inactive
13 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1487997151
Phone
(414) 649-3323
Address
2900 W OKLAHOMA AVE
Deactivation Date
13 October 2023

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2604694738
Graduation Year
2013 (13 years ago)
PAC ID
1951686914
Group Practice PAC ID
2668412842
Professional Enrollment ID
I20190627003190
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

  • 2900 W OKLAHOMA AVE

    MILWAUKEE, WI 532154330

    Phone: (414) 649-3323

    Type: Mailing

  • 3707 NEW VISION DR

    FORT WAYNE, IN 468451702

    Phone: (260) 373-4731

    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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view354330$0
70450Ct scan head or brain without contrast161158$0
74177Ct scan of abdomen and pelvis with contrast138138$0
71046X-ray of chest, 2 views135135$0
78815Nuclear medicine study from skull base to mid-thigh with ct scan9791$0
View full utilization report →

Insurance plans in this area (ZIP 53215)

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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: 2668412842View full group profile
NameSpecialtyState
Diagnostic RadiologyIN
Diagnostic RadiologyIN
Diagnostic RadiologyIN
Diagnostic RadiologyIL
Diagnostic RadiologyCO
-IN
Diagnostic RadiologyMI

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1487997151?
NPI 1487997151 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Milwaukee?
Unknown Individual currently maps to Milwaukee, Wisconsin in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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