Colonial Heart – Cardiovascular Disease Physician, NPI 1407157647
Cardiovascular Disease Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Colonial Heart
7300 Ashlake Pkwy Ste 100
Chesterfield, VA 238322827
Phone: (804) 245-8340
Type: Location
1990 Old Bridge Rd Ste 101
Woodbridge, VA 221922383
Phone: (703) 492-6822
Type: Location
445 CHARLES DIMMOCK PARKWAY
SUITE 100
COLONIAL HEIGHTS, VA 23834
Phone: (804) 520-1764
Fax: (866) 781-3220
Type: Location
445 CHARLES H DIMMOCK PKWY STE 100
COLONIAL HEIGHTS, VA 238342990
Phone: (804) 520-1764
Fax: (866) 781-3220
Type: Location
113 Bulifants Blvd Ste A
Williamsburg, VA 231885719
Phone: (757) 561-2162
Type: Location
2010 Opitz Blvd Ste C
Woodbridge, VA 221913359
Phone: (703) 730-8002
Type: Location
315 N Main St
Lawrenceville, VA 238681809
Phone: (434) 471-4575
Type: Location
445 Charles H Dimmock Pkwy Ste 101
Colonial Heights, VA 238342990
Phone: (804) 520-1764
Type: Location
422 Garrisonville Rd Ste 104
Stafford, VA 225541573
Phone: (540) 628-2173
Type: Location
1990 Old Bridge Rd Ste 201
Woodbridge, VA 221922383
Phone: (703) 492-6822
Type: Location
8006 Discovery Dr Ste 130
Richmond, VA 232298600
Phone: (804) 495-2299
Type: Location
8006 Discovery Dr Ste 300
Richmond, VA 232298600
Phone: (804) 495-2299
Type: Location
701 N Main St
Emporia, VA 238471274
Phone: (434) 336-3199
Type: Location
101 S College Dr
Franklin, VA 238512425
Phone: (757) 550-2095
Type: Location
8006 Discovery Dr Ste 120
Richmond, VA 232298600
Phone: (804) 495-2299
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: 2024-10-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-09-30 (253 days ago).
Enrollment records
2
Earliest due date
2025-09-30
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 |
|---|---|---|---|---|
| O20110112000790 | O | Clinic/Group Practice | VA | 2025-09-30 |
| O20241028000233 | O | Clinic/Group Practice | DC | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 23832)
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