Unknown Individual – Family Medicine Physician, NPI 1568401610

Unknown Individual is a healthcare provider. based in Newport news, Virginia. specializing in Family Medicine Physician. They hold a License No. OS010113L (PA). The NPI Number for Unknown Individual is 1568401610

Main info

Organization
Inactive
29 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1568401610
Phone
(757) 316-5800
Address
856 J CLYDE MORRIS BLVD STE A
Deactivation Date
12 February 2026

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
7576655996
Graduation Year
1997 (29 years ago)
PAC ID
2769554567
Group Practice PAC ID
5092608448
Professional Enrollment ID
I20101025000566
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

  • 856 J CLYDE MORRIS BLVD STE A

    NEWPORT NEWS, VA 236011318

    Phone: (757) 316-5800

    Fax: (757) 534-5190

    Type: Mailing

  • 1250 E Marshall St

    Richmond, VA 232985023

    Phone: (804) 333-6400

    Fax: (804) 333-6392

    Type: Location

  • 1420 S Main St

    Culpeper, VA 227013431

    Phone: (540) 825-2202

    Type: Location

  • 16 Delfae Dr

    Warsaw, VA 225724281

    Phone: (804) 333-6400

    Fax: (804) 333-6392

    Type: Location

  • 5516 VIRGINIA BEACH BLVD

    VIRGINIA BEACH, VA 234625629

    Phone: (757) 473-3969

    Fax: (757) 506-0157

    Type: Location

  • Parksley Migrant Headstart Center, 20344, Lankford Highway, Pastoria, Parksley, Accomack County, Virginia, 23421, United States

    PARKSLEY, VA 23421

    Phone: (757) 665-5996

    Fax: (757) 665-5973

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $151.

Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Novo Nordisk Inc ($125).

Total Amount

$151

General + Research + Ownership

Payments

2

Total payment records

General Amount

$151

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

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.

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
99214Established patient office or other outpatient visit, 30-39 minutes406321$0
36415Insertion of needle into vein for collection of blood sample189167$0
83036Hemoglobin a1c level9776$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6767$0
90480Admn sarscov2 vacc 1 dose6060$0
View full utilization report →

Insurance plans in this area (ZIP 23601)

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Provider's Procedures

Unknown Individual performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEVA81002Urinalysis, manual test4844

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: 5092608448View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1568401610.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Family Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Newport News, Virginia because that is what the record indicates for Unknown Individual.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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Unknown Individual

Family Medicine Physician
307 COOK RD
NPI: 1669478418