Unknown Individual – Addiction Medicine (Internal Medicine) Physician, NPI 1720016389

Unknown Individual is a healthcare provider. based in Lebanon, Virginia. specializing in Addiction Medicine (Internal Medicine) Physician. They hold a License No. 0101028013 (VA). The NPI Number for Unknown Individual is 1720016389

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1720016389
Phone
(768) 883-5050
Address
PO BOX 306
Deactivation Date
28 November 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • io Deli and Café, 306, Beverly Road, Pittsburgh, Allegheny County, Pennsylvania, 15216, United States

    LEBANON, VA 242660306

    Phone: (768) 883-5050

    Fax: (276) 565-2427

    Type: Mailing

  • 127, Callahan Avenue, Appalachia, Wise County, Virginia, 24216, United States

    APPALACHIA, VA 242161203

    Phone: (276) 565-2425

    Fax: (276) 565-2427

    Type: Location

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.

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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 24266)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1720016389 is assigned to Unknown Individual under the national enumeration system.
Should I trust care from Unknown Individual if status is inactive?
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 Addiction Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Lebanon, 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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