Organization Active NPI

Dr Anchal Dureja DPM, LLC

  • Foot Surgery Podiatrist
  • Ashburn, VA
National Provider Identifier
1093240798
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
0103301177 Issued in VA
Legal business name
DR ANCHAL DUREJA DPM, LLC
Practice address
21785 Filigree CT Ste 104
Ashburn, VA 20147-6214
Phone
(703) 291-6334
Fax
(703) 291-8285
NPI assigned
May 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Dr. Anchal Dureja Chhitwal
Title
President
Phone
(516) 313-8288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X 0103301177 VA Primary

Addresses

Primary practice location

21785 Filigree CT Ste 104
Ashburn, VA 20147-6214

Mailing address

23396 Summerstown PL
Sterling, VA 20166-2178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170731002721 VA Part B Supplier - Clinic/Group Practice 2860763455 Receives reassigned benefits from 1 practitioner
Practice locations: Ashburn, VA

National Provider Directory

National Provider Directory

Locations

21785 Filigree Ct
Ste 104
Ashburn, VA 20147
Phone (703) 291-6334

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1093240798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23396 SUMMERSTOWN PL",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201662178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21785 FILIGREE CT STE 104",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476214",
            "telephone_number": "703-291-6334",
            "fax_number": "703-291-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ANCHAL DUREJA DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "CHHITWAL",
        "authorized_official_first_name": "ANCHAL",
        "authorized_official_middle_name": "DUREJA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-313-8288",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "VA",
            "license": "0103301177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.