Unknown Individual – Nephrology Physician, NPI 1477546927

Unknown Individual is a healthcare provider. based in Portsmouth, Virginia. specializing in Nephrology Physician. They hold a License No. 0101027314 (VA). The NPI Number for Unknown Individual is 1477546927

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1477546927
Phone
(757) 484-9400
Address
3235 ACADEMY AVE
Deactivation Date
21 July 2022
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

  • 3235, Academy Avenue, Village At Western Branch, Churchland, Portsmouth, Virginia, 23703, United States

    STE 301

    PORTSMOUTH, VA 237033200

    Phone: (757) 484-9400

    Fax: (757) 484-8809

    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.

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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 23703)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1477546927 is assigned to Unknown Individual under the national enumeration system.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Portsmouth, Virginia because that is what the record indicates for Unknown Individual.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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