Unknown Individual – Diagnostic Radiology Physician, NPI 1790729580

Unknown Individual is a healthcare provider. based in Greenfield, Massachusetts. specializing in Diagnostic Radiology Physician. They hold a License No. 042-0008040 (VT). The NPI Number for Unknown Individual is 1790729580

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790729580
Phone
(413) 772-8500
Address
PO BOX 910
Deactivation Date
10 September 2021
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

  • Three Valley Sportsmans Club, 910, Polecat Hollow Road, Greenfield Township, Blair County, Pennsylvania, 16637, United States

    GREENFIELD, MA 013020910

    Phone: (413) 772-8500

    Fax: (413) 772-8900

    Type: Mailing

  • Springfield Hospital, 25, Ridgewood Road, Springfield, Windsor County, Vermont, 05156, United States

    SPRINGFIELD, VT 051563050

    Phone: (802) 885-7320

    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

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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 01302)

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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 1790729580 on file in the registry.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Diagnostic Radiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Greenfield?
Unknown Individual currently maps to Greenfield, Massachusetts in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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