Individual provider Active NPI

Ryan Vazales, DPM

  • Foot & Ankle Surgery Podiatrist
  • Henrico, VA
National Provider Identifier
1043624372
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103301197 Issued in VA
Practice address
2569 Homeview Dr
Henrico, VA 23294-1700
Phone
(804) 390-9878
Fax
(908) 404-9855
NPI assigned
Jun 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0103301197 VA Primary

Addresses

Primary practice location

2569 Homeview Dr
Henrico, VA 23294-1700

Mailing address

PO Box 274
Crozier, VA 23039-0274
Phone (804) 390-9878

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
I20170907001484 VA Practitioner - Podiatry 7416220744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5231 Hickory Park Dr
Suite D
Glen Allen, VA 23059-2619
Phone (804) 390-9878

Hospital & facility affiliations

  • Bon Secours St Marys Hospital Hospital, Richmond, VA, CCN 490059

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue58
Removal of skin lesions29
Removal of nail tissue69
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Foot and Ankle of Virginia PLLC Foot & Ankle Surgery CurrentSince Jun 18, 2021 Accepting new patients
Best Foot Forward Consulting, LLC PastSince May 1, 2020 Accepting new patients

Locations

5231 Hickory Park Dr
Ste D
Glen Allen, VA 23059
Phone (804) 290-4340

2569 Homeview Dr
Henrico, VA 23294
Phone (804) 390-9878

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1402704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1043624372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 274",
            "city": "CROZIER",
            "state": "VA",
            "postal_code": "230390274",
            "telephone_number": "804-390-9878",
            "fax_number": "804-404-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2569 HOMEVIEW DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232941700",
            "telephone_number": "804-390-9878",
            "fax_number": "908-404-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZALES",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-14",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.