Unknown Individual – Vascular & Interventional Radiology Physician, NPI 1346293214

Unknown Individual is a healthcare provider. based in North chesterfield, Virginia. specializing in Vascular & Interventional Radiology Physician. They hold a License No. 101051144 (VA). The NPI Number for Unknown Individual is 1346293214

Main info

Organization
Inactive
38 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1346293214
Phone
(804) 272-8806
Address
2602 BUFORD RD
Deactivation Date
17 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Secondary Phone
8044830400
Graduation Year
1988 (38 years ago)
PAC ID
5395739916
Group Practice PAC ID
9830088434
Professional Enrollment ID
I20040414001092
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

  • 2602, Buford Road, Grand Summit, Bon Air, Chesterfield County, Virginia, 23235, United States

    NORTH CHESTERFIELD, VA 232353422

    Phone: (804) 272-8806

    Fax: (804) 272-2909

    Type: Mailing

  • Bon Air Branch Richmond Post Office, 2611, Buford Road, Grand Summit, Bon Air, Chesterfield County, Virginia, 23235, United States

    RICHMOND, VA 232353422

    Phone: (804) 272-8806

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $179.

Total Amount is formed as General ($179) + Research ($0) + Ownership ($0) = $179.

Last reported payment date: 2023-08-11 • Largest payer in this snapshot: Penumbra, Inc. ($179).

Total Amount

$179

General + Research + Ownership

Payments

4

Total payment records

General Amount

$179

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Penumbra, Inc.$179
View all Open Payments →|Open Payments Risk Radar →

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes208188$0
76937Ultrasonic guidance for blood vessel access6257$0
77012Review by radiologist of ct guidance for needle placement3939$0
77002Fluoroscopic guidance for needle placement3837$0
75726Review by radiologist of abdominal artery image3416$0
View full utilization report →

Insurance plans in this area (ZIP 23235)

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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: 9830088434View full group profile
NameSpecialtyState
Diagnostic RadiologyVA
Diagnostic Radiology, Interventional RadiologyVA
Diagnostic RadiologyVA
-VA
Diagnostic RadiologyVA
Diagnostic RadiologyVA
Diagnostic RadiologyVA
Diagnostic RadiologyVA
Diagnostic RadiologyVA
-VA

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1346293214 in the public NPI dataset.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is North Chesterfield, Virginia in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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