Unknown Individual – Diagnostic Radiology Physician, NPI 1821006016

Diagnostic Radiology Physician

Unknown Individual is a healthcare provider. based in Ft worth, Texas. specializing in Diagnostic Radiology Physician. They hold a License No. C5735 (TX). The NPI Number for Unknown Individual is 1821006016

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1821006016

Phone

Not provided

Address

300 W ROSEDALE ST

Deactivation Date

15 June 2021

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

300, West Rosedale Street, Fort Worth, Tarrant County, Texas, 76104, United States
FT WORTH, TX 761044856
Phone:
Mailing address matches the actual address.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76104)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?

The registry entry for Unknown Individual shows NPI 1821006016.

Does inactive mean outdated data for Unknown Individual?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 does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.

Is Unknown Individual tied to Ft Worth, Texas?

If you are local to Ft Worth, Texas, Unknown Individual may be relevant to your search.

Why is information missing for Unknown Individual?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.