Unknown Individual – Emergency Medicine Physician, NPI 1811926678

Unknown Individual is a healthcare provider. based in Glen allen, Virginia. specializing in Emergency Medicine Physician. They hold a License No. 25MB06963300 (NJ). The NPI Number for Unknown Individual is 1811926678

Main info

Organization
Inactive
35 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1811926678
Phone
(804) 968-5700
Address
5000 COX RD
Deactivation Date
12 April 2023

Doctor Profile

Medical School Name
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
8567790783
Graduation Year
1991 (35 years ago)
PAC ID
6507828308
Group Practice PAC ID
6103076526
Professional Enrollment ID
I20050215000459
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

Provider Addresses for Unknown Individual

  • 5000 COX RD

    GLEN ALLEN, VA 230609263

    Phone: (804) 968-5700

    Type: Mailing

  • 606 CROSS KEYS RD

    SICKLERVILLE, NJ 080819513

    Phone: (856) 237-1016

    Fax: (856) 488-6511

    Type: Location

  • 970 Hooper Ave # 2

    Toms River, NJ 087538319

    Phone: (732) 228-4146

    Fax: (732) 504-7104

    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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23060)

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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: 6103076526View full group profile

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1811926678 — 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 area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Virginia is Unknown Individual registered?
Use Glen Allen, Virginia as the headline location for Unknown Individual here.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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