Chesapeake Cardio-Thoracic Surgery

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

CHESAPEAKE CARDIO-THORACIC SURGERY

Practice address

3333 N Calvert Street
Suite LL08
Baltimore, MD 21218-2895

Phone

(410) 554-6550

Fax

(410) 554-6534

NPI assigned

Jun 18, 2006

Last updated

Mar 8, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Fiocco, MDNPI 1295738508

Title

Treasurer

Phone

(410) 554-6550

Specialties & licenses 1

Addresses

Other identifiers 8

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Fiocco, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Baltimore, MD
  • NPI 1295738508
  NPD Authorized official
• Luis Augusto Mispireta, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Baltimore, MD
  • NPI 1861447005
  NPD (past)
• Luis A. Dibos, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Pensacola, FL
  • NPI 1679577639
  NPD (past)
• Brittany Montgomery

  • Acute Care Nurse Practitioner
  • Washington, DC
  • NPI 1255925848
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1003851551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E UNIVERSITY PARKWAY",
            "address_2": "JPB SUITE LL08",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182895",
            "telephone_number": "410-554-6550",
            "fax_number": "410-554-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 N CALVERT STREET",
            "address_2": "SUITE LL08",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182895",
            "telephone_number": "410-554-6550",
            "fax_number": "410-554-6534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12502 Willowbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215026491",
            "country_code": "US",
            "telephone_number": "240-964-8724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12500 Willowbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215026393",
            "country_code": "US",
            "telephone_number": "240-964-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHESAPEAKE CARDIO-THORACIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "FIOCCO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "410-554-6550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FEP",
            "identifier": "T035",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE PPO",
            "identifier": "362173",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF PA",
            "identifier": "1403431",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "362173",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020202900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "LT13MI",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTHCARE",
            "identifier": "180072",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMANENTE",
            "identifier": "227538",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annet Cherusseril
• Pavan Kumar Cheruvu, M.D.
• Chesapeake Bay Aquatic & Physical Therapy
• Chesapeake Bay Surgical Assistants
• Chesapeake Behavioral Health Services
• Chesapeake Cardiovascular Associates LLC (Chesapeake Cardiovascular Assoc - MMG2)
• Chesapeake Cardiovascular Associates, LLC
• Chesapeake Dental Group LLC
• Chesapeake Disability Management Inc.
• Chesapeake Eye Care & Laser Center LLC

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.