Unknown Individual – Family Medicine Physician, NPI 1700835568

Unknown Individual is a healthcare provider. based in Yorktown, Virginia. specializing in Family Medicine Physician. They hold a License No. 0101046857 (VA). The NPI Number for Unknown Individual is 1700835568

Main info

Organization
Inactive
33 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1700835568
Phone
(757) 867-6160
Address
3212B HAMPTON HWY
Deactivation Date
1 May 2024

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1993 (33 years ago)
PAC ID
2961663703
Professional Enrollment ID
I20120423000169
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

  • Yorktown Avenue, West Hampton, Henry County, Georgia, 30228, United States

    YORKTOWN, VA 236934904

    Phone: (757) 867-6160

    Fax: (757) 867-6983

    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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes284113$0
36415Insertion of needle into vein for collection of blood sample16285$0
99213Established patient office or other outpatient visit, 20-29 minutes10657$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5555$0
99215Established patient office or other outpatient visit, 40-54 minutes3827$0
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Insurance plans in this area (ZIP 23693)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1700835568 in the public NPI dataset.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Yorktown, Virginia; more addresses can appear in NPPES.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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