Unknown Individual – Diagnostic Radiology Physician, NPI 1265414320

Unknown Individual is a healthcare provider. based in Coral gables, Florida. specializing in Diagnostic Radiology Physician. They hold a License No. 68064 (FL). The NPI Number for Unknown Individual is 1265414320

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1265414320
Phone
(305) 446-4681
Address
2555 PONCE DE LEON BLVD
Deactivation Date
30 October 2025
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

  • 2555, Ponce de Leon Boulevard, Coral Gables, Miami-Dade County, Florida, 33134, United States

    4TH FLOOR

    CORAL GABLES, FL 331346010

    Phone: (305) 446-4681

    Type: Mailing

  • Baptist Hospital of Miami, 8900, Southwest 88th Street, Kendall, Miami-Dade County, Florida, 33176, United States

    MIAMI, FL 331762118

    Phone: (786) 596-1960

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-03-20 • Largest payer in this snapshot: Boston Scientific Corporation ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-20

Latest reported date

Top Companies

Largest payers in this snapshot

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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.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33134)

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Provider's Procedures

Unknown Individual performs procedures in Diagnostic Radiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL RADIOLOGYFL76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1616

Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1265414320 as the unique 10-digit identifier.
Is inactive the same as retired for Unknown Individual?
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 located near Coral Gables?
Unknown Individual currently maps to Coral Gables, Florida in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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