Active NPI
Burton M Sundin, M.D.
- Plastic and Reconstructive Surgery Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 0101236442
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164467601 | Medicaid | VA |
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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101236442 | VA | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Institute of Plastic Surgery PC | Current | 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.
-
- Plastic Surgery Physician
- Richmond, VA
- NPI 1245499276
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bon Secours Laboratory Services - Richmond
- Clinical Medical Laboratory
- Richmond, VA
- NPI 1588129480
Hospital
-
dba Bon Secours St Mary's Hospital
- General Acute Care Hospital
- Richmond, VA
- NPI 1962464016
-
dba Bon Secours St. Mary's Hospital Sleep Lab
- Sleep Disorder Diagnostic Clinic/Center
- Mechanicsville, VA
- NPI 1457687543
Hospital
-
dba Bon Secours St. Mary's Hospital Sleep Lab
- Sleep Disorder Diagnostic Clinic/Center
- Midlothian, VA
- NPI 1548596638
Hospital
-
dba Bon Secours St. Mary's Hospital Heart and Vascular Institute
- Cardiac Rehabilitation Clinic/Center
- Richmond, VA
- NPI 1902132095
Hospital
-
dba Bon Secours St. Mary's Hospital Sleep Lab
- Sleep Disorder Diagnostic Clinic/Center
- Richmond, VA
- NPI 1992031348
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.