Unknown Individual – Urology Physician, NPI 1386605079

Unknown Individual is a healthcare provider. based in Va beach, Virginia. specializing in Urology Physician. They hold a License No. 0101018138 (VA). The NPI Number for Unknown Individual is 1386605079

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1386605079
Phone
(757) 499-4932
Address
4501 NORTH WITCHDUCK RD
Deactivation Date
5 July 2023
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

  • North Witchduck Road, Chinese Corner, Virginia Beach, Virginia, 23462, United States

    VA BEACH, VA 23455

    Phone: (757) 499-4932

    Fax: (757) 490-6693

    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 23455)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1386605079 uniquely identifies Unknown Individual in U.S. healthcare data.
Does inactive mean outdated data for Unknown Individual?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.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Urology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Va Beach, Virginia?
For routing, start with Va Beach, Virginia for Unknown Individual, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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