Unknown Individual – Body Imaging Physician, NPI 1922054816

Unknown Individual is a healthcare provider. based in Eau claire, Wisconsin. specializing in Body Imaging Physician. They hold a License No. 46115 (MN). The NPI Number for Unknown Individual is 1922054816

Main info

Organization
Inactive
33 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1922054816
Phone
(715) 834-5511
Address
2715 WEST FRANK STREET
Deactivation Date
21 August 2024

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
7158581777
Graduation Year
1993 (33 years ago)
PAC ID
4880508944
Group Practice PAC ID
3274447313
Professional Enrollment ID
I20051025000600
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 2715, West Frank Street, Eau Claire, Eau Claire County, Wisconsin, 54703, United States

    EAU CLAIRE, WI 54703

    Phone: (715) 834-5511

    Fax: (715) 834-5870

    Type: Mailing

  • Sacred Heart Hospital, 900, West Clairemont Avenue, Upper Campus, Eau Claire, Eau Claire County, Wisconsin, 54701, United States

    EAU CLAIRE, WI 54701

    Phone: (715) 839-4151

    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
71045X-ray of chest, 1 view320247$0
71046X-ray of chest, 2 views215181$0
70450Ct scan head or brain without contrast129124$0
74177Ct scan of abdomen and pelvis with contrast108102$0
73502X-ray of hip, 2-3 views8771$0
View full utilization report →

Insurance plans in this area (ZIP 54703)

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Provider's Procedures

Unknown Individual performs procedures in Body Imaging Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYWI71250CT scan chest5150
DIAGNOSTIC RADIOLOGYWI73562X-ray of knee, 3 views4034
DIAGNOSTIC RADIOLOGYWI73630X-ray of foot, minimum of 3 views4541
DIAGNOSTIC RADIOLOGYWI93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers8985

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: 3274447313View full group profile
NameSpecialtyState
Diagnostic RadiologyWI
-WI
Diagnostic RadiologyWI
Diagnostic RadiologyTX
Interventional Radiology, Diagnostic RadiologyWI
Nurse PractitionerWI
Diagnostic RadiologyWI
Pain ManagementWI
Diagnostic RadiologyIL
Diagnostic RadiologyWI

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1922054816 for Unknown Individual.
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 Body Imaging Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Eau Claire, Wisconsin. Check all listed addresses for suites or satellite offices.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.