Unknown Individual – Radiation Oncology Physician, NPI 1538245618

Unknown Individual is a healthcare provider. based in Texarkana, Texas. specializing in Radiation Oncology Physician. They hold a License No. 7583A (WY). The NPI Number for Unknown Individual is 1538245618

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1538245618
Phone
(903) 614-5372
Address
2900 SAINT MICHAEL DR STE 401
Deactivation Date
26 December 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:0State licenses:5Digital endpointsOther names

Provider Addresses for Unknown Individual

  • Saint Michael Drive, Texarkana, Bowie County, Texas, 75501:75503, United States

    TEXARKANA, TX 755035211

    Phone: (903) 614-5372

    Fax: (903) 614-5343

    Type: Mailing

  • 3538 Wyoga Lake Rd Apt 301

    Cuyahoga Falls, OH 442246818

    Phone: (307) 250-4874

    Type: Location

  • 1500 S Lake Park Ave

    Hobart, IN 463426638

    Phone: (219) 942-5745

    Fax: (219) 942-8452

    Type: Location

  • Christus Health Shreveport - Bossier, 1453, East Bert Kouns Industrial Loop, Shreveport, Caddo Parish, Louisiana, 71105, United States

    SHREVEPORT, LA 711056800

    Phone: (318) 681-4138

    Fax: (318) 681-4867

    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.

This can happen when there are no reportable CMS Open Payments records.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77014Ct guidance for insertion of radiation therapy fields23513$0
77427Radiation treatment management, 5 treatment sessions6325$0
77300Calculation of radiation therapy dose5818$0
99213Established patient office or other outpatient visit, 20-29 minutes4629$0
99204New patient office or other outpatient visit, 45-59 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 75503)

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Provider's Procedures

Unknown Individual performs procedures in Radiation Oncology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYOH77263Management of radiation therapy, complex4438
RADIATION ONCOLOGYOH77300Calculation of radiation therapy dose16731

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1538245618 for Unknown Individual.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Texarkana, Texas in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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