Unknown Individual – Diagnostic Radiology Physician, NPI 1588657555

Unknown Individual is a healthcare provider. based in Shaker heights, Ohio. specializing in Diagnostic Radiology Physician. They hold a License No. 35032682 (OH). The NPI Number for Unknown Individual is 1588657555

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1588657555
Phone
(216) 286-6299
Address
3605 WARRENSVILLE CENTER ROAD
Deactivation Date
28 November 2024
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

  • 3605, Warrensville Center Road, Shaker Heights, Cuyahoga County, Ohio, 44122, United States

    MSC 9152

    SHAKER HEIGHTS, OH 44122

    Phone: (216) 286-6299

    Fax: (216) 286-6341

    Type: Mailing

  • University Hospitals Cleveland Medical Center, 11100, Euclid Avenue, University Circle, Cleveland, Cuyahoga County, Ohio, 44106, United States

    CLEVELAND, OH 44106

    Phone: (216) 844-1700

    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

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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 44122)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1588657555 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Shaker Heights, Ohio for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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