Unknown Individual – Diagnostic Radiology Physician, NPI 1811964562

Unknown Individual is a healthcare provider. based in Concord, Massachusetts. specializing in Diagnostic Radiology Physician. They hold a License No. 31391 (MA). The NPI Number for Unknown Individual is 1811964562

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1811964562
Phone
(978) 287-3700
Address
147 ORNAC
Deactivation Date
21 June 2023
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

Provider Addresses for Unknown Individual

  • 147 ORNAC

    CONCORD, MA 017424159

    Phone: (978) 287-3700

    Type: Location

  • 93, Coolidge Road, Concord, Middlesex County, Massachusetts, 01742, United States

    CONCORD, MA 017423301

    Phone: (978) 807-8142

    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

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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 01742)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1811964562.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Concord, Massachusetts. Check all listed addresses for suites or satellite offices.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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