Unknown Individual – Cardiovascular Disease Physician, NPI 1215934278

Unknown Individual is a healthcare provider. based in Fairfax, Virginia. specializing in Cardiovascular Disease Physician. They hold a License No. 0101028462 (VA). The NPI Number for Unknown Individual is 1215934278

Main info

Organization
Inactive
57 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1215934278
Phone
(703) 698-8525
Address
8505 ARLINGTON BLVD
Deactivation Date
16 January 2025

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1969 (57 years ago)
PAC ID
5597660803
Group Practice PAC ID
2466351093
Professional Enrollment ID
I20040423000943

Contacts

Secure Messaging
hsherber26182@soc.inova.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • Prosperity Medical Center, 8505, Arlington Boulevard, Pine Ridge, Annandale, Fairfax (city), Virginia, 22031, United States

    SUITE 200

    FAIRFAX, VA 220314621

    Phone: (703) 698-8525

    Fax: (703) 849-1918

    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 22031)

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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: 2466351093View full group profile
NameSpecialtyState
H E M A T O L O G YWA
-VIR
O B S T E T R I C S/ G Y N E C O L O G YPA
-IL
Orthopedic SurgeryVA
-VA
Diagnostic RadiologyVA
General SurgeryCT
Hospitalist, Internal MedicineVA
-VA

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1215934278.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Fairfax, Virginia?
For routing, start with Fairfax, Virginia for Unknown Individual, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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