Unknown Individual – Family Medicine Physician, NPI 1669478418

Unknown Individual is a healthcare provider. based in Yorktown, Virginia. specializing in Family Medicine Physician. They hold a License No. 0101016837 (VA). The NPI Number for Unknown Individual is 1669478418

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1669478418
Phone
(757) 898-7261
Address
307 COOK RD
Deactivation Date
13 March 2024
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

Provider Addresses for Unknown Individual

  • 307 COOK RD

    YORKTOWN, VA 236909640

    Phone: (757) 898-7261

    Fax: (757) 890-0139

    Type: Location

  • 860, Omni Boulevard, City Center, Newport News, Newport News City, Virginia, 23606, United States

    SUITE 303

    NEWPORT NEWS, VA 236064430

    Phone: (757) 232-8777

    Fax: (757) 232-8866

    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 23690)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1669478418.
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.
Where is Unknown Individual's primary listing?
We display Yorktown, Virginia because that is what the record indicates for Unknown Individual.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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