Unknown Individual – Internal Medicine Physician, NPI 1043209489

Unknown Individual is a healthcare provider. based in Williamsburg, Virginia. specializing in Internal Medicine Physician. They hold a License No. 18861 (VA). The NPI Number for Unknown Individual is 1043209489

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1043209489
Phone
(757) 229-0919
Address
322 MONTICELLO AVE
Deactivation Date
31 January 2024
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

  • 322, Monticello Avenue, Williamsburg, Williamsburg (city), Virginia, 23185, United States

    WILLIAMSBURG, VA 231852834

    Phone: (757) 229-0919

    Fax: (757) 229-0927

    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 23185)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1043209489 as the unique 10-digit identifier.
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 Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Williamsburg?
Public fields place Unknown Individual around Williamsburg, Virginia. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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