Unknown Individual – Allergy Physician, NPI 1013912252

Unknown Individual is a healthcare provider. based in Centreville, Virginia. specializing in Allergy Physician. They hold a License No. 0101025702 (VA). The NPI Number for Unknown Individual is 1013912252

Main info

Organization
Inactive
59 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1013912252
Phone
(703) 263-2333
Address
13890 BRADDOCK RD
Deactivation Date
21 November 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Secondary Phone
7032632333
Graduation Year
1967 (59 years ago)
PAC ID
7517111354
Group Practice PAC ID
0042119661
Professional Enrollment ID
I20130204000189
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

  • 13890, Braddock Road, Centreville, Manassas (city), Virginia, 20121, United States

    STE 206

    CENTREVILLE, VA 201212437

    Phone: (703) 263-2333

    Fax: (703) 263-0361

    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.

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 20121)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042119661View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1013912252 is assigned to Unknown Individual under the national enumeration system.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Allergy Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Centreville, Virginia because that is what the record indicates for Unknown Individual.
What if Centreville, Virginia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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