Unknown Individual – Cardiovascular Disease Physician, NPI 1699761460

Unknown Individual is a healthcare provider. based in Newport news, Virginia. specializing in Cardiovascular Disease Physician. They hold a License No. 0101025295 (VA). The NPI Number for Unknown Individual is 1699761460

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1699761460
Phone
(757) 565-0600
Address
860 OMNI BLVD
Deactivation Date
6 February 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

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Provider Addresses for Unknown Individual

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

    SUITE 114

    NEWPORT NEWS, VA 236064430

    Phone: (757) 565-0600

    Fax: (757) 565-0553

    Type: Location

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

    SUITE 303

    NEWPORT NEWS, VA 236064430

    Phone: (757) 232-8769

    Fax: (757) 232-8875

    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 23606)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1699761460 in the public NPI dataset.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Cardiovascular Disease Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Newport News, Virginia may find Unknown Individual in results; validate coverage separately.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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