Unknown Individual – Hospitalist Physician, NPI 1043299365

Unknown Individual is a healthcare provider. based in Salem, Virginia. specializing in Hospitalist Physician. They hold a License No. 0101056023 (VA). The NPI Number for Unknown Individual is 1043299365

Main info

Organization
Inactive
36 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1043299365
Phone
(540) 776-4000
Address
1900 ELECTRIC RD
Deactivation Date
21 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5407764000
Graduation Year
1990 (36 years ago)
PAC ID
2163491028
Group Practice PAC ID
1254689482
Professional Enrollment ID
I20051201000101
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

  • LewisGale Medical Center, 1900, Electric Road, Ridgewood Farm, Salem, Salem (city), Virginia, 24153, United States

    SALEM, VA 241537474

    Phone: (540) 776-4000

    Fax: (540) 776-2083

    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 24153)

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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: 1254689482View full group profile
NameSpecialtyState
Internal MedicineFL
Internal MedicineFL
Nurse PractitionerVA
Family PracticeVA
Internal MedicineVA
Internal MedicineVA
Family PracticeMS
Osteopathic Manipulative MedicineVA
H O S P I T A L I S TVA
Internal MedicineMD

Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1043299365 as the unique 10-digit identifier.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Hospitalist Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Salem, Virginia as the reference point for Unknown Individual, then confirm.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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