Individual provider Active NPI

Leo M Gazoni, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Charlottesville, VA
National Provider Identifier
1285841288
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
0101248346 Issued in VA
Practice address
1215 Lee St
Charlottesville, VA 22908-0001
Phone
(434) 924-2047
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0116015691 VA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 0101248346 VA Primary

Addresses

Primary practice location

1215 Lee St
Charlottesville, VA 22908-0001

Mailing address

PO Box 405700
Atlanta, GA 30384-6071
Phone (804) 320-2751

Other practice location 1

7101 Jahnke Rd Ste 500
Richmond, VA 23225-4017
Phone (804) 320-2751

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address LEO.GAZONI@hca6.eclinicaldirectplus.com

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
I20120621000721 VA Practitioner - Thoracic SurgeryPractitioner - General PracticePractitioner - Cardiac Surgery 7911162003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery, General Practice
Education
University of Virginia School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiac Surgical Associates LLCGroup PAC ID 7416012448, 20 clinicians

Practice addresses (Care Compare)

7101 Jahnke Rd
Suite 500
Richmond, VA 23225-4017
Phone (804) 320-2751

Hospital & facility affiliations

  • HCA Virginia Healthcare at Home Home health agency, North Chesterfield, VA, CCN 497625
  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067

Merit-based Incentive Payment System (MIPS)

Final score
89.09 of 100Reported as group
Quality
80.52
Promoting interoperability
100
Improvement activities
40
Cost
78.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116015691VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Surgical Associates, LLC CurrentSince Jul 23, 2012 Accepting new patients
Cardiac & Thoracic Surgical Associates, LTD Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Apr 1, 2020 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

930 South Ave
Ste 4C
Colonial Heights, VA 23834
Phone (804) 410-9749

7605 Forest Ave
Ste 302
Richmond, VA 23229
Phone (804) 282-8777

7101 Jahnke Rd
Ste 500
Richmond, VA 23225
Phone (804) 272-4761

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

121 Bulifants Blvd
Ste A
Williamsburg, VA 23188
Phone (757) 707-3999

5388 Discovery Park Blvd
Ste 120A
Williamsburg, VA 23188

Interoperability endpoints

  • Direct secure messaging: leo.gazoni@hca6.eclinicaldirectplus.com

Organizations & group practices 2

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 3

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1285841288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303846071",
            "telephone_number": "804-320-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LEE ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229080001",
            "telephone_number": "434-924-2047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7101 Jahnke Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232254017",
            "country_code": "US",
            "telephone_number": "804-320-2751",
            "fax_number": "804-330-3831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAZONI",
        "first_name": "LEO",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2022-01-04",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116015691",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "VA",
            "license": "0101248346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LEO.GAZONI@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "7101 Jahnke Rd Ste 500",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232254017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.