Individual provider Active NPI

Reps Barnes Sundin, M.D.

  • Plastic Surgery Physician
  • Richmond, VA
National Provider Identifier
1841320728
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
0101247125 Issued in VA
Practice address
7611 Forest Ave
Suite 210
Richmond, VA 23229-4946
Phone
(804) 290-0909
Fax
(804) 290-0333
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 0101247125 VA Primary

Addresses

Primary practice location

7611 Forest Ave
Suite 210
Richmond, VA 23229-4946

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1841320728MedicaidVA

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
I20100830000695 VA Practitioner - Plastic and Reconstructive Surgery 6103940010 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Institute of Plastic Surgery PC Plastic Surgery CurrentSince Jul 1, 2010 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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1841320728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7611 FOREST AVE",
            "address_2": "SUITE 210",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294946",
            "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": "SUITE 210",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294946",
            "telephone_number": "804-290-0909",
            "fax_number": "804-290-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDIN",
        "first_name": "REPS",
        "middle_name": "BARNES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101247125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841320728",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.