Unknown Individual – Pain Medicine Physician, NPI 1841220902

Unknown Individual is a healthcare provider. based in Virginia beach, Virginia. specializing in Pain Medicine Physician. They hold a License No. 0101032198 (VA). The NPI Number for Unknown Individual is 1841220902

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1841220902
Phone
(757) 963-1488
Address
620 VILLAGE DR
Deactivation Date
27 October 2022
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

  • 620, Village Drive, Virginia Beach, Virginia, 23454, United States

    SUITE A

    VIRGINIA BEACH, VA 234544276

    Phone: (757) 963-1488

    Fax: (757) 470-5805

    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.

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 23454)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1841220902 when you need to reference Unknown Individual in forms, claims, or directories.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Pain Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Virginia Beach, Virginia for Unknown Individual; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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