Unknown Individual – Internal Medicine Physician, NPI 1487628848

Unknown Individual is a healthcare provider. based in Richmond, Virginia. specializing in Internal Medicine Physician. They hold a License No. 0101236827 (VA). The NPI Number for Unknown Individual is 1487628848

Main info

Organization
Inactive
23 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1487628848
Phone
(804) 358-6100
Address
PO BOX 91734
Deactivation Date
12 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8043646641
Graduation Year
2003 (23 years ago)
PAC ID
1951426824
Group Practice PAC ID
4385542117
Professional Enrollment ID
I20100915000779
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Richmond Drive, Middletown, New Castle County, Delaware, United States

    RICHMOND, VA 232980510

    Phone: (804) 358-6100

    Fax: (804) 342-7619

    Type: Mailing

  • VCU Medical Center, 1250, East Marshall Street, Shockoe Slip, Richmond, Richmond City, Virginia, 23219, United States

    IM: PALLIATIVE CARE

    RICHMOND, VA 232980510

    Phone: (804) 628-1295

    Fax: (804) 628-1277

    Type: Location

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes11053$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4038$0
99238Hospital discharge day management, 30 minutes or less2726$0
View full utilization report →

Insurance plans in this area (ZIP 23298)

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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: 4385542117View full group profile
NameSpecialtyState
Internal MedicineVA
-VA
-VA
O T O L A R Y N G O L O G YVA
Diagnostic RadiologyVA
Oral Surgery, Orthopedic SurgeryVA
Diagnostic RadiologyVA
Qualified AudiologistVA
Nurse PractitionerVA
O B S T E T R I C S/ G Y N E C O L O G YVA

Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1487628848 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Richmond, Virginia.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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