Unknown Individual – Specialist, NPI 1871552489

Unknown Individual is a healthcare provider. based in Winchester, Virginia. specializing in Specialist. They hold a License No. 0101021719 (VA). The NPI Number for Unknown Individual is 1871552489

Main info

Organization
Inactive
62 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1871552489
Phone
(540) 662-3174
Address
900 S PLEASANT VALLEY RD
Deactivation Date
31 August 2022

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
5406623174
Graduation Year
1964 (62 years ago)
PAC ID
6305926908
Professional Enrollment ID
I20080109000112
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

  • 900, South Pleasant Valley Road, Winchester, Frederick County, Virginia, 22601, United States

    WINCHESTER, VA 226015152

    Phone: (540) 662-3174

    Fax: (540) 662-3518

    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 22601)

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Provider's Procedures

Unknown Individual performs procedures in Specialist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYVA92567Eardrum testing using ear probe204158

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1871552489 if you need a stable reference for Unknown Individual.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Other Service Providers. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Winchester, Virginia for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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