Unknown Individual – Emergency Medicine Physician, NPI 1902882111

Unknown Individual is a healthcare provider. based in Newport news, Virginia. specializing in Emergency Medicine Physician. They hold a License No. 344 (TN). The NPI Number for Unknown Individual is 1902882111

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1902882111
Phone
(757) 369-9446
Address
12997 WARWICK BLVD
Deactivation Date
11 June 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:0State licenses:3Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Med Express, 12997, Warwick Boulevard, Wendwood, Newport News, Newport News City, Virginia, 23602, United States

    NEWPORT NEWS, VA 236028352

    Phone: (757) 369-9446

    Fax: (757) 369-9554

    Type: Location

  • Virginia Beach Post Office, 501, Viking Drive, Lynnhaven, Virginia Beach, Virginia, 23452, United States

    VIRGINIA BEACH, VA 234710508

    Phone: (757) 340-3489

    Fax: (757) 340-4278

    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 23602)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1902882111 — is the standard way to identify this listing.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Newport News, Virginia as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."