Unknown Individual – Cardiovascular Disease Physician, NPI 1053712604

Unknown Individual is a healthcare provider. based in Chester, Virginia. specializing in Cardiovascular Disease Physician. They hold a License No. 0101237240 (VA). The NPI Number for Unknown Individual is 1053712604

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1053712604
Phone
(804) 571-5000
Address
13000 RIVERS BEND BLVD STE D
Deactivation Date
24 March 2023
Data current as of
20 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

  • 13000 RIVERS BEND BLVD STE D

    CHESTER, VA 238368632

    Phone: (804) 571-5000

    Fax: (804) 518-1314

    Type: Mailing

  • 9782 HIGHWAY NINE O THREE

    BRACEY, VA 239191991

    Phone: (434) 636-6903

    Fax: (866) 781-3220

    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.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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

Insurance plans in this area (ZIP 23836)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1053712604.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Cardiovascular Disease Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Chester, Virginia for Unknown Individual; expand the address list for detail.
What if Chester, Virginia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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