Individual provider Active NPI

Tyler Gloschat, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lorton, VA
National Provider Identifier
1114415437
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0000880 Issued in CO
Practice address
9010 Lorton Station Blvd Ste 270
Lorton, VA 22079-4798
Phone
(571) 418-8670
NPI assigned
Apr 23, 2018
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 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 0000880 CO Primary

Addresses

Primary practice location

9010 Lorton Station Blvd Ste 270
Lorton, VA 22079-4798

Mailing address

9010 Lorton Station Blvd Ste 270
Lorton, VA 22079-4798
Phone (571) 418-8670

Other practice location 1

10304 Spotsylvania Ave Ste 410
Fredericksburg, VA 22408-8605
Phone (540) 898-6500

Other practice location 2

4103 Lafayette Blvd Fl 2
Fredericksburg, VA 22408-4274
Phone (571) 418-8670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231103001596 VA Practitioner - Podiatry 3375950215 Reassigns benefits to 1 organization
I20231221002695 DC Practitioner - Podiatry 3375950215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Foot and Ankle Center LLCGroup PAC ID 9739408881, 7 clinicians

Practice addresses (Care Compare)

9010 Lorton Station Blvd
Suite 270
Lorton, VA 22079-4798
Phone (954) 650-7704

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue146
Removal of skin lesions11
Removal of nail tissue221
Removal or shaving of skin growth61
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000880COMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Plaza Podiatry Associates PA Foot & Ankle Surgery PastSince Mar 10, 2021 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1114415437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 LORTON STATION BLVD STE 270",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794798",
            "telephone_number": "571-418-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 LORTON STATION BLVD STE 270",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794798",
            "telephone_number": "571-418-8670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10304 Spotsylvania Ave Ste 410",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224088605",
            "country_code": "US",
            "telephone_number": "540-898-6500",
            "fax_number": "540-834-0363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4103 Lafayette Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224084274",
            "country_code": "US",
            "telephone_number": "571-418-8670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLOSCHAT",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-23",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "0000880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorton, VA

Sources for this page

Verify at the official NPI Registry.