Individual provider Active NPI

Norman A Hetzler Jr., MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Portsmouth, VA
National Provider Identifier
1487660775
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
0101285915 Issued in VA
Practice address
3640 High St Ste 1E
Portsmouth, VA 23707-3213
Phone
(757) 398-2222
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X TMP02476 WV
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 46710 AL
Surgery Physician 208600000X MD03596SE PA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 0101285915 VA Primary

Addresses

Primary practice location

3640 High St Ste 1E
Portsmouth, VA 23707-3213

Mailing address

PO Box 88
5 E Alvon Road Suite 7
White Sulphur Springs, WV 24986-2373
Phone (304) 536-5030

Other practice location 1

2828 1st Ave
Suite 200
Huntington, WV 25702-1236
Phone (304) 399-7530

Other identifiers 1

IdentifierTypeStateIssuer
0019049070001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, IL, IA, WA, VA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20230821003937 AL Practitioner - Thoracic Surgery 2668577016 Reassigns benefits to 1 organization
I20230921000067 IL Practitioner - Thoracic SurgeryPractitioner - General Surgery 2668577016 Reassigns benefits to 2 organizations
I20231024001367 IA Practitioner - Thoracic Surgery 2668577016
I20240624004142 WA Practitioner - Thoracic Surgery 2668577016 Reassigns benefits to 1 organization
I20250911003431 VA Practitioner - Thoracic Surgery 2668577016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Drexel University College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Medical Group Hampton Roads Specialty Care LLCGroup PAC ID 3173955671, 197 clinicians

Practice addresses (Care Compare)

150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673

3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD03596SEPAMDSurgery Physician
46710ALMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
TMP02476WVMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proctor Health Systems CurrentSince Sep 5, 2025 Accepting new patients
Providence Health & Services Washington CurrentSince Jun 1, 2024 Accepting new patients
Proctor Health Systems CurrentSince Sep 5, 2025 Accepting new patients
Proctor Health Systems Current Accepting new patients
Baptist Health Centers LLC CurrentSince Jul 18, 2023 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Aug 3, 2025 Accepting new patients
Methodist Medical Center of Illinois Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Aug 15, 2023 Accepting new patients
Baptist Health Centers, LLC CurrentSince Jul 18, 2023 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC Surgery CurrentSince Aug 3, 2025 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Aug 15, 2023 Accepting new patients
Cardiology Consultants Past Accepting new patients
St. Mary's Medical Management Highlawn Lab Past Accepting new patients
Valley Cardiology LLP Past Accepting new patients

Locations

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

833 Princeton Ave SW
Ste 200G
Birmingham, AL 35211
Phone (205) 264-2816

2018 Brookwood Medical Ctr Dr
Ste 215
Birmingham, AL 35209
Phone (205) 877-2627

2018 Medical Center Dr
Homewood, AL 35209
Phone (205) 329-7805

1506 W Garfield Ave
Bartonville, IL 61607
Phone (309) 697-2416

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

815 Main St
Ste A1
Peoria, IL 61602

120 NE Glen Oak Ave
Peoria, IL 61603
Phone (309) 672-3158

5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610

112 NE Crescent Ave
Peoria, IL 61606
Phone (309) 680-2402

4600 McAuley Pl
Ste 600
Blue Ash, OH 45242
Phone (513) 752-8000

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

3640 High St
Ste 1E
Portsmouth, VA 23707
Phone (757) 398-2200

1018 Capitol Way S
Ste 300
Olympia, WA 98501
Phone (360) 486-6508

525 Lilly Rd NE
Ste 200
Olympia, WA 98506
Phone (360) 493-4510

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

Interoperability endpoints

  • Direct secure messaging: nhetzler2952612@direct.bsmhealth.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 9

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1487660775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88",
            "address_2": "5 E ALVON ROAD SUITE 7",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249862373",
            "telephone_number": "304-536-5030",
            "fax_number": "304-536-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 HIGH ST STE 1E",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073213",
            "telephone_number": "757-398-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2828 1st Ave",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257021236",
            "country_code": "US",
            "telephone_number": "304-399-7530",
            "fax_number": "304-399-7532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HETZLER",
        "first_name": "NORMAN",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "WV",
            "license": "TMP02476",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AL",
            "license": "46710",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD03596SE",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "VA",
            "license": "0101285915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019049070001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.