Unknown Individual – Pediatric Radiology Physician, NPI 1366415838

Unknown Individual is a healthcare provider. based in Lexington, Kentucky. specializing in Pediatric Radiology Physician. They hold a License No. 03297 (KY). The NPI Number for Unknown Individual is 1366415838

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1366415838
Phone
(859) 323-5069
Address
800 ROSE ST
Deactivation Date
28 August 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 800, Rose Street, Academic Core, Lexington, Fayette County, Kentucky, 40506, United States

    HX307

    LEXINGTON, KY 405360293

    Phone: (859) 323-5069

    Type: Location

  • Range Road 101A, Blue Ridge, Woodlands County, Alberta, T0E 0B0, Canada

    BLUE RIDGE, TX 754242540

    Phone: (972) 924-3421

    Fax: (972) 924-3421

    Type: Mailing

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 40536)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1366415838 as the unique 10-digit identifier.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Pediatric Radiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Lexington?
Public fields place Unknown Individual around Lexington, Kentucky. 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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