Unknown Individual – Otolaryngology Physician, NPI 1164485652

Unknown Individual is a healthcare provider. based in Portsmouth, Virginia. specializing in Otolaryngology Physician. They hold a License No. 0101238004 (VA). The NPI Number for Unknown Individual is 1164485652

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1164485652
Phone
(757) 686-3508
Address
PO BOX 7068
Deactivation Date
28 November 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Portsmouth Post Office, Heritage Avenue, Maplehaven, Portsmouth, Rockingham County, New Hampshire, 03801, United States

    PORTSMOUTH, VA 237070068

    Phone: (757) 686-3508

    Fax: (757) 686-0541

    Type: Mailing

  • 2000, Meade Parkway, Palmyra, Suffolk, Virginia, 23434, United States

    SUFFOLK, VA 234344259

    Phone: (757) 539-0251

    Fax: (757) 934-9421

    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.

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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 23707)

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Provider's Procedures

Unknown Individual performs procedures in Otolaryngology 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 injections41850

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1164485652.
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 does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Portsmouth, Virginia in the same public data insurers reference.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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