DR. ARTURO CARDOUNEL M.D., PH.D.
NPI 1396150769
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Fredericksburg, VA

Active since June 24, 2014PECOS EnrolledAccepts Medicare Assignment
76.23/100
CMS Quality Rating
1101 SAM PERRY BLVD STE 318, FREDERICKSBURG, VA 22401(540) 372-7792 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2026, Aug 31, 2020 (2 updates tracked since 2020).

About Dr. Arturo Cardounel M.d., Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ARTURO CARDOUNEL M.D., PH.D. (NPI 1396150769) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Fredericksburg, Virginia, licensed in Virginia (0101268605) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Ohio State University College Of Medicine (2014).

NPPES Registry Identity

NPI1396150769
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. ARTURO CARDOUNELCredential: M.D., PH.D.
Location Address1101 SAM PERRY BLVD STE 318Fredericksburg, VA 22401-4466
Mailing Address1340 Central Park Blvd Ste 100Fredericksburg, VA 22401-4940
Sole ProprietorYes
Medical School CMSOhio State University College Of MedicineGraduated 2014
Enumeration DateJune 24, 2014
Last NPPES UpdateMay 28, 20262 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
NPI 1396150769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses Licensed in VA · 0101268605 Licensed in PA · MT206770
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
1101 SAM PERRY BLVD STE 318, Fredericksburg, VA 22401

Secondary Practice Locations 3

Location 11250 E Marshall StRichmond, VA 23298-5023 · Phone (804) 828-2775 · Fax (804) 828-0191
Location 29000 Stony Point PkwyRichmond, VA 23235-1900 · Phone (804) 628-4327 · Fax (804) 998-1240
Location 3417 N 11th StRichmond, VA 23298-5024 · Phone (804) 828-2775 · Fax (804) 828-0191

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Arturo Cardounel M.d., Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022437045
PECOS Enrollment IDI20260429000416
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.58
Promoting Interoperability100
Improvement Activities40
Cost56.18

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1101 SAM PERRY BLVD STE 318
FREDERICKSBURG, VA 22401
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1101 SAM PERRY BLVD STE 318
FREDERICKSBURG, VA 22401
Internal Medicine (Pulmonary Disease)
1101 SAM PERRY BLVD STE 318
FREDERICKSBURG, VA 22401
Internal Medicine (Pulmonary Disease)
1101 SAM PERRY BLVD STE 318
FREDERICKSBURG, VA 22401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Arturo Cardounel's NPI number?

The NPI number for Arturo Cardounel is 1396150769. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Arturo Cardounel located?

Arturo Cardounel practices at 1101 Sam Perry Blvd Ste 318, Fredericksburg, VA 22401. The listed phone number is (540) 372-7792.

What is Arturo Cardounel's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Arturo Cardounel enrolled in Medicare?

Yes. Arturo Cardounel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Arturo Cardounel was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.