Unknown Individual – Otolaryngic Allergy Physician, NPI 1851365126

Unknown Individual is a healthcare provider. based in Richmond, Virginia. specializing in Otolaryngic Allergy Physician. They hold a License No. 0101020218 (VA). The NPI Number for Unknown Individual is 1851365126

Main info

Organization
Inactive
59 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1851365126
Phone
(804) 288-8308
Address
1800 GLENSIDE DR
Deactivation Date
31 August 2022

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
8043305501301
Graduation Year
1967 (59 years ago)
PAC ID
4688733710
Group Practice PAC ID
1658380613
Professional Enrollment ID
I20100406000262
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

  • Hampton Inn & Suites Richmond/Glenside, 5406, Glenside Drive, Richmond, Henrico County, Virginia, 23228, United States

    RICHMOND, VA 232263769

    Phone: (804) 288-8308

    Fax: (804) 288-7562

    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.

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

Insurance plans in this area (ZIP 23226)

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Provider's Procedures

Unknown Individual performs procedures in Otolaryngic Allergy Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYVA95117Injection of incremental dosages of allergen, 2 or more injections19516

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: 1658380613View full group profile
NameSpecialtyState
Qualified AudiologistVA
O T O L A R Y N G O L O G YVA
Nurse PractitionerVA
O T O L A R Y N G O L O G YND
Nurse PractitionerVA

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1851365126.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Otolaryngic Allergy Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Richmond, Virginia?
If you are local to Richmond, Virginia, Unknown Individual may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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