Unknown Individual – Medical Physician Assistant, NPI 1609851450

Unknown Individual is a healthcare provider. based in Chesapeake, Virginia. specializing in Medical Physician Assistant. They hold a License No. 2078 (AZ). The NPI Number for Unknown Individual is 1609851450

Main info

Organization
Inactive
29 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1609851450
Phone
(866) 551-6779
Address
1157 S MILITARY HWY
Deactivation Date
2 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2406862300
Graduation Year
1997 (29 years ago)
PAC ID
0749364032
Group Practice PAC ID
8022914522
Professional Enrollment ID
I20140917001580
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:0State licenses:4Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1157, South Military Highway, Indian River Park, Chesapeake, Virginia, 23320, United States

    SUITE 102

    CHESAPEAKE, VA 233202352

    Phone: (866) 551-6779

    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 1 Open Payments records for all available years, with a total value of $124.

Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.

Last reported payment date: 2023-06-02 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($124).

Total Amount

$124

General + Research + Ownership

Payments

1

Total payment records

General Amount

$124

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-02

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes3024$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 23320)

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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: 8022914522View full group profile
NameSpecialtyState
-MD
Critical Care (Intensivists), General SurgeryMD
Internal MedicineVA
Hospitalist, Internal Medicine, Internal MedicineMD
-AZ
-MD
Emergency MedicineNV
Internal Medicine, Critical Care (Intensivists)NJ
Certified Registered Nurse Anesthetist (Crna)VA
Physician AssistantMD

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1609851450.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Medical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Chesapeake, Virginia?
For routing, start with Chesapeake, 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.