Unknown Individual – Foot & Ankle Surgery Podiatrist, NPI 1457341620

Unknown Individual is a healthcare provider. based in Fredericksburg, Virginia. specializing in Foot & Ankle Surgery Podiatrist. They hold a License No. 0103300938 (VA). The NPI Number for Unknown Individual is 1457341620

Main info

Organization
Inactive
25 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1457341620
Phone
(540) 785-7000
Address
1420 CENTRAL PARK BLVD STE 200
Deactivation Date
25 September 2025

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
7719948900
Professional Enrollment ID
I20050602000410
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

Provider Addresses for Unknown Individual

  • 1420 CENTRAL PARK BLVD STE 200

    FREDERICKSBURG, VA 224014932

    Phone: (540) 785-7000

    Fax: (540) 785-7005

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-05-09 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-09

Latest reported date

Top Companies

Largest payers in this snapshot

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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
99213Established patient office or other outpatient visit, 20-29 minutes367195$0
11721Removal of fingernails or toenails, 6 or more nails22472$0
99203New patient office or other outpatient visit, 30-44 minutes169169$0
73630X-ray of foot, minimum of 3 views12877$0
11056Removal of noncancer thickened skin growth, 2-4 growths9931$0
View full utilization report →

Insurance plans in this area (ZIP 22401)

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Provider's Procedures

Unknown Individual performs procedures in Foot & Ankle Surgery Podiatrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYVA11042Removal of skin and tissue first 20 sq cm or less2416

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1457341620 for Unknown Individual.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Fredericksburg, Virginia?
If you are local to Fredericksburg, 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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