Unknown Individual – Gastroenterology Physician, NPI 1598712929

Unknown Individual is a healthcare provider. based in Fredericksburg, Virginia. specializing in Gastroenterology Physician. They hold a License No. 0101039424 (VA). The NPI Number for Unknown Individual is 1598712929

Main info

Organization
Inactive
45 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1598712929
Phone
(540) 371-9696
Address
2601 FALL HILL AVE
Deactivation Date
18 March 2022

Doctor Profile

Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5403719696
Graduation Year
1981 (45 years ago)
PAC ID
8325140817
Group Practice PAC ID
7012019581
Professional Enrollment ID
I20070305000368
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

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

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Provider Addresses for Unknown Individual

  • 2601, Fall Hill Avenue, Fredericksburg, Fredericksburg City, Virginia, 22401, United States

    FREDERICKSBURG, VA 224013323

    Phone: (540) 371-9696

    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)

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 22401)

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Provider's Procedures

Unknown Individual performs procedures in Gastroenterology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYVA45385Removal of polyps or growths of large bowel using an endoscope1313

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: 7012019581View full group profile
NameSpecialtyState
Gastroenterology, Internal MedicineVA
-VA
P A T H O L O G YCT
Physician AssistantPA
Nurse PractitionerVA
Gastroenterology, Internal MedicineVA

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1598712929 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Gastroenterology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Fredericksburg, Virginia for Unknown Individual; expand the address list for detail.
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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