Unknown Individual – Diagnostic Radiology Physician, NPI 1225095771

Unknown Individual is a healthcare provider. based in Exmore, Virginia. specializing in Diagnostic Radiology Physician. They hold a License No. 0101047837 (VA). The NPI Number for Unknown Individual is 1225095771

Main info

Organization
Inactive
50 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1225095771
Phone
(757) 442-4580
Address
10387 HIGHLAND CT
Deactivation Date
4 June 2021

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Secondary Phone
8885455551
Graduation Year
1976 (50 years ago)
PAC ID
9739275900
Group Practice PAC ID
0042389231
Professional Enrollment ID
I20110106001253
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 10387 HIGHLAND CT

    EXMORE, VA 233504251

    Phone: (757) 442-4580

    Type: Mailing

  • 9507, Hospital Avenue, Nassawadox, Northampton County, Virginia, 23413, United States

    NASSAWADOX, VA 23413

    Phone: (757) 414-8000

    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 23350)

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Provider's Procedures

Unknown Individual performs procedures in Diagnostic Radiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYVA71010X-ray of chest, 1 view, front120118
DIAGNOSTIC RADIOLOGYVA71250CT scan chest198190
DIAGNOSTIC RADIOLOGYVA73110X-ray of wrist, minimum of 3 views1312
DIAGNOSTIC RADIOLOGYVA73562X-ray of knee, 3 views2828
DIAGNOSTIC RADIOLOGYVA73630X-ray of foot, minimum of 3 views157156
DIAGNOSTIC RADIOLOGYVA74177CT scan of abdomen and pelvis with contrast4746
DIAGNOSTIC RADIOLOGYVA93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers8383

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: 0042389231View full group profile
NameSpecialtyState
Diagnostic RadiologyGA
-GA
Diagnostic RadiologyKY
Diagnostic RadiologyNC
-GA
Diagnostic RadiologyGA
Diagnostic RadiologyGA
-GA
Diagnostic RadiologyWI
-SC

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 1225095771.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Exmore, Virginia?
If you are local to Exmore, Virginia, Unknown Individual may be relevant to your search.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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