Unknown Individual – Diagnostic Radiology Physician, NPI 1861583080

Unknown Individual is a healthcare provider. based in Boston, Massachusetts. specializing in Diagnostic Radiology Physician. They hold a License No. 28379 (MA). The NPI Number for Unknown Individual is 1861583080

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1861583080
Phone
(617) 667-0659
Address
330 BROOKLINE AVE
Deactivation Date
6 December 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

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Provider Addresses for Unknown Individual

  • Beth Israel Deaconess Medical Center East Campus, 330, Brookline Avenue, Audubon Square, Boston, Suffolk County, Massachusetts, 02215, United States

    DEPARTMENT OF RADIOLOGY

    BOSTON, MA 022155400

    Phone: (617) 667-0659

    Type: Location

  • Longview Place, 80, Hope Avenue, Riverview, Waltham, Middlesex County, Massachusetts, 02453, United States

    APARTMENT 604

    WALTHAM, MA 024532743

    Phone: (617) 429-8030

    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 02215)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1861583080 if you need a stable reference for Unknown Individual.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Boston, Massachusetts because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1861583080. Always confirm identity and privileges with the practice and licensing boards.

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