Unknown Individual – Family Medicine Physician, NPI 1477514990

Unknown Individual is a healthcare provider. based in New market, Virginia. specializing in Family Medicine Physician. They hold a License No. 14570 (NH). The NPI Number for Unknown Individual is 1477514990

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1477514990
Phone
(540) 740-3044
Address
9626 S CONGRESS ST STE B
Deactivation Date
10 May 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 9626 S CONGRESS ST STE B

    NEW MARKET, VA 228449450

    Phone: (540) 740-3044

    Fax: (757) 579-8558

    Type: Location

  • Harrisonburg Post Office, 3811, South Main Street, Harrisonburg, Rockingham County, Virginia, 22801, United States

    HARRISONBURG, VA 22803

    Phone: (540) 740-3044

    Fax: (757) 579-8558

    Type: Mailing

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 22844)

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Provider's Procedures

Unknown Individual performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEVA81002Urinalysis, manual test2118
FAMILY MEDICINEVA85610Blood test, clotting time6011

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1477514990 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Family Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Virginia?
You will see New Market, Virginia on file for Unknown Individual alongside any extra practice locations.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.