Unknown Individual – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1578520359

Unknown Individual is a healthcare provider. based in Richmond, Virginia. specializing in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. They hold a License No. 0101261968 (VA). The NPI Number for Unknown Individual is 1578520359

Main info

Organization
Inactive
49 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1578520359
Phone
(804) 828-2775
Address
1250 E Marshall St
Deactivation Date
5 June 2025

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5708391355
Graduation Year
1977 (49 years ago)
PAC ID
9133192040
Group Practice PAC ID
5395649347
Professional Enrollment ID
I20070417000514
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

  • 1250 E Marshall St

    Richmond, VA 232985051

    Phone: (804) 828-2775

    Fax: (804) 828-0191

    Type: Location

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

    RICHMOND, VA 232911734

    Phone: (804) 358-6100

    Fax: (804) 342-7619

    Type: Mailing

  • 417, North 11th Street, Shockoe Slip, Richmond, Richmond City, Virginia, 23219, United States

    RICHMOND, VA 232985002

    Phone: (804) 828-2775

    Fax: (804) 828-0191

    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.

No Medicare fee-for-service utilization data available for this provider in our database.

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: 5395649347View full group profile
NameSpecialtyState
-PA
Medical OncologyOH
Cardiac Surgery, Thoracic SurgeryNY
-PA
-PA
Clinical Social WorkerPA
Nurse PractitionerPA
-PA
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyPA
Vascular SurgeryPA

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1578520359.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Richmond, Virginia for Unknown Individual based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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