Unknown Individual – Clinical Cardiac Electrophysiology Physician, NPI 1215906409

Unknown Individual is a healthcare provider. based in Fairfax, Virginia. specializing in Clinical Cardiac Electrophysiology Physician. They hold a License No. 27919 (WV). The NPI Number for Unknown Individual is 1215906409

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1215906409
Phone
(703) 289-9400
Address
3020 Hamaker Ct
Deactivation Date
24 January 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 3020 Hamaker Ct

    Suite 101

    Fairfax, VA 220312238

    Phone: (703) 289-9400

    Fax: (703) 289-9404

    Type: Location

  • West Virginia University School of Dentistry, 1, Medical Center Drive, The Flatts, Evansdale, Morgantown, Monongalia County, West Virginia, 26505-2854, United States

    MORGANTOWN, WV 265061200

    Phone: (304) 598-4000

    Type: Mailing

  • 3020, Hamaker Court, Merrifield, Fairfax (city), Virginia, 22031, United States

    SUITE 101

    FAIRFAX, VA 22031

    Phone: (703) 289-9400

    Fax: (703) 289-9404

    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 ·

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

Insurance plans in this area (ZIP 22031)

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Provider's Procedures

Unknown Individual performs procedures in Clinical Cardiac Electrophysiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIAC ELECTROPHYSIOLOGYVA93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report289217
CARDIAC ELECTROPHYSIOLOGYVA93284Evaluation, testing and programming adjustment of defibrillator with analysis, review and report1414

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 1215906409.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Clinical Cardiac Electrophysiology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Fairfax, 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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