Unknown Individual – Internal Medicine Physician, NPI 1265431613

Unknown Individual is a healthcare provider. based in Lebanon, Virginia. specializing in Internal Medicine Physician. They hold a License No. 0101048242 (VA). The NPI Number for Unknown Individual is 1265431613

Main info

Organization
Inactive
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1265431613
Phone
(276) 883-8020
Address
CARROLL ST. & TATE ST
Deactivation Date
8 February 2023

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
null (2026 years ago)
PAC ID
6901857341
Professional Enrollment ID
I20060220000412
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

Provider Addresses for Unknown Individual

  • CARROLL ST. & TATE ST

    LEBANON, VA 24266

    Phone: (276) 883-8020

    Fax: (276) 883-8021

    Type: Location

  • Lebanon, Marcelo Green Village Phase 8, Aeropark, Parañaque, Metro Manila, 1711, Philippines

    LEBANON, VA 242660275

    Phone: (276) 883-8020

    Fax: (276) 883-8021

    Type: Mailing

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.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 24266)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1265431613 when you need to reference Unknown Individual in forms, claims, or directories.
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 field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Lebanon, Virginia for Unknown Individual; expand the address list for detail.
What if Lebanon, Virginia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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