Individual provider Active NPI

Burton M Sundin, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Richmond, VA
National Provider Identifier
1164467601
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
0101236442 Issued in VA
Practice address
7611 Forest Ave
Ste. 210
Richmond, VA 23229-4920
Phone
(804) 290-0909
Fax
(804) 290-0333
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 0101236442 VA Primary

Addresses

Primary practice location

7611 Forest Ave
Ste. 210
Richmond, VA 23229-4920

Mailing address

7611 Forest Ave
Ste. 210
Richmond, VA 23229-4920
Phone (804) 290-0909

Other identifiers 1

IdentifierTypeStateIssuer
1164467601MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041118001228 VA Practitioner - Plastic and Reconstructive Surgery 6305815523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Duke University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7611 Forest Ave
Suite 210
Richmond, VA 23229-4946
Phone (804) 290-0909

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101236442VAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Institute of Plastic Surgery PC CurrentSince Aug 4, 2008 Accepting new patients

Locations

7611 Forest Ave
Ste 210
Richmond, VA 23229
Phone (804) 290-0909

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1164467601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7611 FOREST AVE",
            "address_2": "STE. 210",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294920",
            "telephone_number": "804-290-0909",
            "fax_number": "804-290-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 FOREST AVE",
            "address_2": "STE. 210",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294920",
            "telephone_number": "804-290-0909",
            "fax_number": "804-290-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDIN",
        "first_name": "BURTON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "VA",
            "license": "0101236442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164467601",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.