Unknown Individual – Dermatology Physician, NPI 1518938547

Unknown Individual is a healthcare provider. based in Portsmouth, Virginia. specializing in DERMATOLOGY. They hold a License No. A81245 (CA). The NPI Number for Unknown Individual is 1518938547

Main info

Organization
Inactive
19 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1518938547
Phone
(757) 953-0311
Address
620 JOHN PAUL JONES CIR
Deactivation Date
8 May 2026

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
7574811666200
Graduation Year
2007 (19 years ago)
PAC ID
7517100639
Group Practice PAC ID
2961455076
Professional Enrollment ID
I20140407000575
Address ID
VA233103200CA216XXAVEX300
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

471 DERMATOLOGY in VA

Provider Addresses for Unknown Individual

  • 620 JOHN PAUL JONES CIR

    NMCP- DEPT OF DERMATOLOGY

    PORTSMOUTH, VA 237082111

    Phone: (757) 953-0311

    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 53 Open Payments records for all available years, with a total value of $1,288.

Total Amount is formed as General ($1,288) + Research ($0) + Ownership ($0) = $1,288.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Amgen Inc. ($347).

Total Amount

$1,288

General + Research + Ownership

Payments

53

Total payment records

General Amount

$1,288

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-04-07

PECOS data refreshed: 2026-05-27

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
I20140407000575IDermatologyVATBD

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
17003Destruction of precancer skin growth, 2-14 growths1,727368$0
17000Destruction of precancer skin growth, 1 growth682516$0
99213Established patient office or other outpatient visit, 20-29 minutes548484$0
99214Established patient office or other outpatient visit, 30-39 minutes462379$0
99212Established patient office or other outpatient visit, 10-19 minutes346300$0
View full utilization report →

Insurance plans in this area (ZIP 23708)

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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: 2961455076View full group profile
NameSpecialtyState
-VA
D E R M A T O L O G YVA
D E R M A T O L O G YVA
D E R M A T O L O G YVA
D E R M A T O L O G YVA
D E R M A T O L O G YVA
Dermatology, Micrographic Dermatologic Surgery (Mds)NC

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1518938547 uniquely identifies Unknown Individual in U.S. healthcare data.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Dermatology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Portsmouth, Virginia?
For routing, start with Portsmouth, Virginia for Unknown Individual, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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