Unknown Individual – Surgical Physician Assistant, NPI 1356491195

Unknown Individual is a healthcare provider. based in Arlington, Virginia. specializing in Surgical Physician Assistant. They hold a License No. PA30128 (DC). The NPI Number for Unknown Individual is 1356491195

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1356491195
Phone
(703) 528-1684
Address
4115 40TH PL N
Deactivation Date
20 November 2025
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

Loading map...

Provider Addresses for Unknown Individual

  • 4115, 40th Place North, Arlingwood, Arlington, Arlington County, Virginia, 20007:20016, United States

    ARLINGTON, VA 222074807

    Phone: (703) 528-1684

    Type: Mailing

  • Sibley Memorial Hospital, 5255, Loughboro Road Northwest, Palisades, Washington, Washington, D.C., 20016, United States

    WASHINGTON, DC 200162633

    Phone: (202) 537-4122

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $532.

Total Amount is formed as General ($532) + Research ($0) + Ownership ($0) = $532.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Galderma Laboratories, L.P. ($268).

Total Amount

$532

General + Research + Ownership

Payments

15

Total payment records

General Amount

$532

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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 22207)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1356491195.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Arlington?
Public fields place Unknown Individual around Arlington, Virginia. Always confirm the exact site before visiting.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

MS. TARA E BURNS (PA)

Surgical Physician Assistant
Starbucks, 1625, North George Mason Drive, Larchmont, Arlington, Arlington County, Virginia, 22207, United States
NPI: 1174519086
3300 GALLOWS RD
NPI: 1144285305

MRS. KRISTEN AULENBACH RUPELL (PA-C)

Surgical Physician Assistant
3300 GALLOWS ROAD
NPI: 1013966241

KRISTIN A DUFF CARLINI (PA-C)

Surgical Physician Assistant
3299 Woodburn Rd Ste 480
NPI: 1891702353

SHIRLEY LAZARO (PA-C)

Surgical Physician Assistant
2800 S SHIRLINGTON RD STE 1100
NPI: 1629172283

MR. JOSEPH FRANCIS JR. KIRBY (PA-C)

Surgical Physician Assistant
Starbucks, 1625, North George Mason Drive, Larchmont, Arlington, Arlington County, Virginia, 22207, United States
NPI: 1033316393

REBECCA M. LAYNE (PA-C)

Surgical Physician Assistant
2445, Army Navy Drive, Arna Valley, Arlington, Arlington County, Virginia, 22206, United States
NPI: 1215168448

MR. DEON ANDREW GOMES (P.A.)

Surgical Physician Assistant
Virginia Hospital Center, 1701, North George Mason Drive, Highview Park, Arlington, Arlington County, Virginia, 22205-3698, United States
NPI: 1306179593