Unknown Individual – Family Medicine Physician, NPI 1447275417

Unknown Individual is a healthcare provider. based in Mclean, Virginia. specializing in Family Medicine Physician. They hold a License No. 0101022030 (VA). The NPI Number for Unknown Individual is 1447275417

Main info

Organization
Inactive
55 Years Of Experience
Name
Unknown Individual
NPI
1447275417
Phone
(703) 893-6670
Address
1608 CHAIN BRIDGE RD
Deactivation Date
22 November 2023

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1971 (55 years ago)
PAC ID
2567538408
Professional Enrollment ID
I20080829000241
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

  • 1608, Chain Bridge Road, West McLean, McLean, Fairfax County, Virginia, 22101, United States

    MCLEAN, VA 221014320

    Phone: (703) 893-6670

    Fax: (703) 893-6671

    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 22101)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1447275417.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Mclean, Virginia?
For routing, start with Mclean, Virginia for Unknown Individual, then verify phone and hours locally.
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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