Individual provider Active NPI

Steven T Prak, DPM

  • Podiatrist
  • Newport News, VA
National Provider Identifier
1033435219
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0103301081 Issued in VA
Practice address
700 Mobjack PL
Newport News, VA 23606-1957
Phone
(757) 597-7699
Fax
(757) 597-7099
NPI assigned
Apr 14, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 006356 NY
Podiatrist 213E00000X 0103301081 VA Primary

Addresses

Primary practice location

700 Mobjack PL
Newport News, VA 23606-1957

Mailing address

PO Box 14932
Newport News, VA 23608-0019
Phone (757) 597-7699

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130821000836 VA Practitioner - Podiatry 9335317148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11815 Fountain Way
Suite 300
New Port News, VA 23606-4448
Phone (757) 597-7699

700 Mobjack PL
Newport News, VA 23606-1957

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006356NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Foot Center LLC CurrentSince May 28, 2013 Accepting new patients

Locations

11815 Fountain Way
Ste 300
Newport News, VA 23606
Phone (757) 505-7574

700 Mobjack Pl
Newport News, VA 23606
Phone (757) 597-1520

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": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1033435219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14932",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236080019",
            "telephone_number": "757-597-7699",
            "fax_number": "757-597-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MOBJACK PL",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061957",
            "telephone_number": "757-597-7699",
            "fax_number": "757-597-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAK",
        "first_name": "STEVEN",
        "middle_name": "T",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-14",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "006356",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103301081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.