Unknown Individual – Radiation Oncology Physician, NPI 1659362184

Unknown Individual is a healthcare provider. based in Madison, Wisconsin. specializing in Radiation Oncology Physician. They hold a License No. 39867-020 (WI). The NPI Number for Unknown Individual is 1659362184

Main info

Organization
Inactive
33 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1659362184
Phone
(608) 251-6868
Address
1104 JOHN NOLEN DR
Deactivation Date
3 July 2025

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
7152432950
Graduation Year
1993 (33 years ago)
PAC ID
7416843321
Group Practice PAC ID
8527951094
Professional Enrollment ID
I20040226000851
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

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

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Provider Addresses for Unknown Individual

  • John Nolen Drive, Madison, Dane County, Wisconsin, 53713, United States

    MADISON, WI 537131430

    Phone: (608) 251-6868

    Fax: (608) 251-4255

    Type: Mailing

  • 7401 METRO BLVD STE 210

    EDINA, MN 554393086

    Phone: (952) 920-4915

    Fax: (952) 915-6091

    Type: Mailing

  • 501 HOSPITAL RD

    NEW RICHMOND, WI 540171449

    Phone: (715) 243-2950

    Fax: (715) 243-2951

    Type: Location

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
G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session67432$0
77014Ct guidance for insertion of radiation therapy fields54026$0
G6012Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev43934$0
77336Continuing radiation therapy consultation per week22966$0
77427Radiation treatment management, 5 treatment sessions21163$0
View full utilization report →

Insurance plans in this area (ZIP 53713)

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Provider's Procedures

Unknown Individual performs procedures in Radiation Oncology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYWI77427Radiation treatment management, 5 treatments23061

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: 8527951094View full group profile
NameSpecialtyState
-MN
Radiation OncologyMN
-MN
Radiation OncologyMN
Radiation OncologyMN
-SD
Radiation OncologyMN
Radiation OncologyMN
Radiation OncologyCA
Radiation OncologyMN

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1659362184.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Radiation Oncology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Madison, Wisconsin in registry-derived data.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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