NPIMap

Organization Active NPI

Frederick Foot and Ankle Specialists, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Germantown, MD
National Provider Identifier
1114714417
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
FREDERICK FOOT AND ANKLE SPECIALISTS, P.C.
Practice address
19801 Observation Dr
Germantown, MD 20876-4070
Phone
(301) 668-9707
Fax
(301) 668-4927
NPI assigned
Apr 22, 2025
Last updated
Jul 21, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
FREDERICK FOOT AND ANKLE SPECIALISTS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Authorized official

Name
Yenisey YanesNPI 1497904106
Title
President
Phone
(301) 668-9707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary
Podiatric Clinic/Center 261QP1100X NU

Addresses

Primary practice location

19801 Observation Dr
Germantown, MD 20876-4070

Mailing address

141 Thomas Johnson Dr Ste 170
Frederick, MD 21702-4530
Phone (301) 668-9707

Other names 1

  • HOLY CROSS GERMANTOWN Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250515002150 DC Part B Supplier - Clinic/Group Practice 7911915137 Receives reassigned benefits from 5 practitioners
Practice locations: Germantown, MD

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Frederick Foot and Ankle5 organizations share this tax ID, including this one
Part of
Frederick Foot and Ankle

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDEBDD

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1114714417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 THOMAS JOHNSON DR STE 170",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024530",
            "telephone_number": "301-668-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19801 OBSERVATION DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764070",
            "telephone_number": "301-668-9707",
            "fax_number": "301-668-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK FOOT AND ANKLE SPECIALISTS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREDERICK FOOT AND ANKLE SPECIALISTS PC",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "YANES",
        "authorized_official_first_name": "YENISEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-668-9707"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOLY CROSS GERMANTOWN",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "HOLY CROSS GERMANTOWN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.