RIVERVIEW CARDIAC SURGERY – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1922053115
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for RIVERVIEW CARDIAC SURGERY
PO BOX 15088
BRADENTON, FL 342805088
Phone: (941) 744-2640
Fax: (941) 744-2650
Type: Mailing
300 RIVERSIDE DR E STE 3100
BRADENTON, FL 342081024
Phone: (941) 744-2640
Fax: (941) 744-2650
Type: Mailing
3052 Harbor Blvd Ste 2
Port Charlotte, FL 339526758
Phone: (941) 744-2640
Fax: (941) 744-2650
Type: Location
2237 US Highway 27 S
Sebring, FL 338704936
Phone: (941) 744-2640
Fax: (941) 744-2650
Type: Location
250 2nd St E Ste 4G
Bradenton, FL 342081028
Phone: (941) 744-2640
Fax: (941) 744-2650
Type: Location
250 2ND ST E STE 4G
BRADENTON, FL 342081028
Phone: (941) 744-2640
Fax: (941) 744-2650
Type: Mailing
4th Avenue Circle East, Bradenton, Manatee County, Florida, 34208, United States
BRADENTON, FL 342085624
Phone: (941) 744-2640
Fax: (941) 744-2650
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-11-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20061102000148 | O | Clinic/Group Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34280)
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