Unknown Individual – Diagnostic Radiology Physician, NPI 1205936499

Unknown Individual is a healthcare provider. based in Cleveland, Ohio. specializing in Diagnostic Radiology Physician. They hold a License No. 35-043102 (OH). The NPI Number for Unknown Individual is 1205936499

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1205936499
Phone
(216) 362-2000
Address
12301 SNOW RD
Deactivation Date
5 April 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

  • Snow Road, Riverside, Brook Park, Cuyahoga County, Ohio, 44130, United States

    CLEVELAND, OH 441301002

    Phone: (216) 362-2000

    Type: Location

  • 23401, Bryden Road, Shaker Heights, Cuyahoga County, Ohio, 44122, United States

    SHAKER HEIGHTS, OH 441224020

    Phone: (216) 831-9167

    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 44130)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1205936499.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Cleveland, Ohio; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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