Unknown Individual – Diagnostic Radiology Physician, NPI 1659363992

Unknown Individual is a healthcare provider. based in New haven, Connecticut. specializing in Diagnostic Radiology Physician. They hold a License No. 014068 (CT). The NPI Number for Unknown Individual is 1659363992

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1659363992
Phone
(203) 777-6209
Address
PO BOX 8416
Deactivation Date
2 August 2023
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

  • PO BOX 8416

    NEW HAVEN, CT 065300416

    Phone: (203) 777-6209

    Fax: (203) 787-2431

    Type: Mailing

  • Yale New Haven Hospital Saint Raphael Campus, 1450, Chapel Street, Dwight Street Historic District, New Haven, New Haven County, Connecticut, 06511, United States

    NEW HAVEN, CT 065114405

    Phone: (203) 789-3124

    Fax: (203) 789-4118

    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.

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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.

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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 06530)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1659363992 on file in the registry.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
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 associated with New Haven?
Public fields place Unknown Individual around New Haven, Connecticut. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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