Unknown Individual – Diagnostic Radiology Physician, NPI 1528061140

Unknown Individual is a healthcare provider. based in Roanoke, Virginia. specializing in Diagnostic Radiology Physician. They hold a License No. 0101031717 (VA). The NPI Number for Unknown Individual is 1528061140

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1528061140
Phone
(540) 774-0104
Address
5091 CROSS BOW CIR
Deactivation Date
7 June 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

  • Cross Bow Circle, Hunting Hills, Cave Spring, Roanoke County, Virginia, 24018, United States

    ROANOKE, VA 240145711

    Phone: (540) 774-0104

    Type: Mailing

  • Belleview Avenue, Roanoke, Westport, Kansas City, Jackson County, Missouri, 64111, United States

    ROANOKE, VA 24033

    Phone: (540) 981-7553

    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.

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 24014)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1528061140 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Roanoke, Virginia 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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