Unknown Individual – Gynecologic Oncology Physician, NPI 1306815287

Unknown Individual is a healthcare provider. based in Norfolk, Virginia. specializing in GYNECOLOGICAL ONCOLOGY. They hold a License No. 0101244096 (VA). The NPI Number for Unknown Individual is 1306815287

Main info

Organization
Inactive
38 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1306815287
Phone
(757) 213-5700
Address
5900 LAKE WRIGHT DR
Deactivation Date
26 March 2026

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
7578739400
Graduation Year
1988 (38 years ago)
PAC ID
1153484175
Group Practice PAC ID
2769395797
Professional Enrollment ID
I20090116000133
Address ID
VA236062981NE1051XBLVD301
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

50 GYNECOLOGICAL ONCOLOGY in VA

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Provider Addresses for Unknown Individual

  • 5900, Lake Wright Drive, Camden Heights, Norfolk, Virginia, 23502, United States of America

    SUITE 300

    NORFOLK, VA 235021871

    Phone: (757) 213-5700

    Fax: (757) 213-5701

    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.

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090116000133IGynecological OncologyVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J9267Injection, paclitaxel, 1 mg19,98022$0
J9271Injection, pembrolizumab, 1 mg15,80011$0
J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)10,70012$0
J0185Injection, aprepitant, 1 mg9,62017$0
Q5101Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram9,00016$0
View full utilization report →

Insurance plans in this area (ZIP 23502)

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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: 2769395797View full group profile
NameSpecialtyState
Physician AssistantCA
Physician AssistantVA
Nurse PractitionerNJ
Physician AssistantVA
-VA
-VA
Nurse PractitionerVA
-VA
H E M A T O L O G Y/ O N C O L O G YVA
Nurse PractitionerVA

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1306815287 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Gynecologic Oncology Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Norfolk, Virginia because that is what the record indicates for Unknown Individual.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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