Unknown Individual – Pediatrics Physician, NPI 1902890072
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
817 Volvo Pkwy
Chesapeake, VA 233202855
Phone: (757) 668-5445
Type: Location
3960 Virginia Beach Blvd
Virginia Beach, VA 234522449
Phone: (757) 668-4648
Type: Location
17334, Troyer Road, Troyer, Monkton, Baltimore County, Maryland, 21111, United States
BALTIMORE, MD 212971334
Phone: (703) 443-6717
Fax: (703) 443-8643
Type: Mailing
19500, Sandridge Way, Ashburn Junction, Leesburg, Loudoun County, Virginia, 20176, United States
SUITE 110
LEESBURG, VA 201766821
Phone: (703) 723-7337
Fax: (703) 723-6848
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $30.
Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.
Last reported payment date: 2023-01-09 • Largest payer in this snapshot: kaleo, Inc. ($30).
Total Amount
$30
General + Research + Ownership
Payments
1
Total payment records
General Amount
$30
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| kaleo, Inc. | $30 |
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 23320)
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Reviews
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