Unknown Individual – Diagnostic Radiology Physician, NPI 1689651655

Unknown Individual is a healthcare provider. based in Waterloo, Iowa. specializing in Diagnostic Radiology Physician. They hold a License No. 29895 (IA). The NPI Number for Unknown Individual is 1689651655

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1689651655
Phone
(319) 233-3044
Address
PO BOX 2660
Deactivation Date
19 February 2026
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

  • Waterloo Post Office, East 4th Street, Waterloo, Monroe County, Illinois, 62298, United States

    WATERLOO, IA 507042660

    Phone: (319) 233-3044

    Fax: (319) 233-0722

    Type: Mailing

  • 1410, North 4th Street, Clinton, Clinton County, Iowa, 52732, United States

    CLINTON, IA 527322940

    Phone: (563) 244-5642

    Fax: (319) 233-0722

    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 50704)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1689651655.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Waterloo, Iowa in the data we show; additional addresses may exist on the full record.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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