Unknown Individual – Medical Physician Assistant, NPI 1740226588

Unknown Individual is a healthcare provider. based in Lynchburg, Virginia. specializing in Medical Physician Assistant. They hold a License No. MA002354L (PA). The NPI Number for Unknown Individual is 1740226588

Main info

Organization
Inactive
30 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1740226588
Phone
(434) 200-3656
Address
1204 FENWICK DR
Deactivation Date
1 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4349473033
Graduation Year
1996 (30 years ago)
PAC ID
3274580345
Group Practice PAC ID
4789606088
Professional Enrollment ID
I20100908000161
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

  • 1204, Fenwick Drive, Sheffield, Lynchburg, Lynchburg (city), Virginia, 24502, United States

    LYNCHBURG, VA 245022112

    Phone: (434) 200-3656

    Type: Mailing

  • Stroobants Cardiovascular Center, 2410, Atherholt Road, West Lynchburg, Lynchburg, Lynchburg (city), Virginia, 24501, United States

    LYNCHBURG, VA 245012148

    Phone: (434) 528-2212

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $130.

Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ATRICURE, INC. ($108).

Total Amount

$130

General + Research + Ownership

Payments

6

Total payment records

General Amount

$130

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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
33508Harvest of vein using an endoscope2222$0
33533Coronary artery bypass using artery graft, 1 graft1919$0
33518Coronary artery bypass using vein or artery graft, 2 grafts1111$0
View full utilization report →

Insurance plans in this area (ZIP 24502)

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Provider's Procedures

Unknown Individual performs procedures in Medical Physician Assistant. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTVA33405Replacement of left lower heart chamber valve using artificial valve on heart-lung machine1212
PHYSICIAN ASSISTANTVA33518Combined multiple vein and artery heart artery bypasses1919
PHYSICIAN ASSISTANTVA33533Heart artery bypass to repair one artery4343

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: 4789606088View full group profile
NameSpecialtyState
-VA
-VA
N E U R O S U R G E R YVA
Emergency MedicineVA
Hospitalist, Family PracticeVA
A N E S T H E S I O L O G YGA
Hospitalist, Family PracticeVA
A N E S T H E S I O L O G YVA
General Practice, Family PracticeVA
Emergency MedicineVA

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1740226588 when you need to reference Unknown Individual in forms, claims, or directories.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Medical Physician Assistant for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Lynchburg, 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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