Unknown Individual – Diagnostic Radiology Physician, NPI 1417989930

Unknown Individual is a healthcare provider. based in Framingham, Massachusetts. specializing in Diagnostic Radiology Physician. They hold a License No. 30927 (MA). The NPI Number for Unknown Individual is 1417989930

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1417989930
Phone
(508) 879-3161
Address
17 LOUIS W FARLEY DR
Deactivation Date
30 January 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

  • 17, Louis W Farley Drive, Framingham, Middlesex County, Massachusetts, 01721, United States

    FRAMINGHAM, MA 017026152

    Phone: (508) 879-3161

    Mailing address matches the actual address.

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.

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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 01702)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1417989930 — the number used across U.S. healthcare to identify this provider.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Framingham?
Unknown Individual currently maps to Framingham, Massachusetts in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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