Unknown Individual – Specialist, NPI 1013905785

Unknown Individual is a healthcare provider. based in Forest, Virginia. specializing in Specialist. They hold a License No. 0101054652 (VA). The NPI Number for Unknown Individual is 1013905785

Main info

Organization
Inactive
31 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1013905785
Phone
(434) 525-3532
Address
1099 AP HILL PLACE
Deactivation Date
21 August 2024

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
9335282540
Professional Enrollment ID
I20100209000742
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

  • Forest, Santa Rita, Santana, Microrregião de Macapá, Região Geográfica Intermediária de Macapá, Amapá, North Region, Brazil

    FOREST, VA 24551

    Phone: (434) 525-3532

    Type: Mailing

  • Linkhorne Drive, Forest Hill, Lynchburg, Lynchburg (city), Virginia, 24503, United States

    SUITE A

    LYNCHBURG, VA 245033321

    Phone: (434) 384-1581

    Fax: (434) 384-5609

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $393.

Total Amount is formed as General ($393) + Research ($0) + Ownership ($0) = $393.

Last reported payment date: 2024-05-06 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($129).

Total Amount

$393

General + Research + Ownership

Payments

10

Total payment records

General Amount

$393

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-06

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes19574$0
99215Established patient office or other outpatient visit, 40-54 minutes14551$0
99214Established patient office or other outpatient visit, 30-39 minutes13760$0
36415Insertion of needle into vein for collection of blood sample4328$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3535$0
View full utilization report →

Insurance plans in this area (ZIP 24551)

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Provider's Procedures

Unknown Individual performs procedures in Specialist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEVA81002Urinalysis, manual test4530

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1013905785; it appears in the national provider directory.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What kind of provider is Unknown Individual?
The page reflects Other Service Providers for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Forest, Virginia for Unknown Individual; expand the address list for detail.
What if Forest, Virginia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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