Unknown Individual – Internal Medicine Physician, NPI 1780676478

Unknown Individual is a healthcare provider. based in Charlottesville, Virginia. specializing in Internal Medicine Physician. They hold a License No. 0101046604 (VA). The NPI Number for Unknown Individual is 1780676478

Main info

Organization
Inactive
38 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1780676478
Phone
Not provided
Address
PO BOX 9007
Deactivation Date
24 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
5408256100
Graduation Year
1988 (38 years ago)
PAC ID
7416930359
Group Practice PAC ID
4880590728
Professional Enrollment ID
I20040610001439

Contacts

Secure Messaging
cdevincentis264079@direct.healthsystem.virginia.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • PO BOX 9007

    CHARLOTTESVILLE, VA 229069007

    Phone:

    Type: Mailing

  • 16268 BENNETT RD

    CULPEPER, VA 227014630

    Phone: (540) 825-6263

    Fax: (540) 825-4911

    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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93793Anticoagulant management of patient taking warfarin27794$0
36415Insertion of needle into vein for collection of blood sample250225$0
85610Blood test, clotting time24781$0
G0008Administration of influenza virus vaccine4040$0
90662Influenza vaccine split virus, preservative free3737$0
View full utilization report →

Insurance plans in this area (ZIP 22906)

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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: 4880590728View full group profile

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1780676478 — the number used across U.S. healthcare to identify this provider.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Virginia is Unknown Individual registered?
Use Charlottesville, Virginia as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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