Individual provider Active NPI

Myles J Schneider, D.P.M

  • Podiatrist
  • Annandale, VA
National Provider Identifier
1154421352
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0103000245 Issued in VA
Practice address
7540 Little River Tpke
Suite I
Annandale, VA 22003-2839
Phone
(703) 750-1124
Fax
(703) 750-2043
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0103000245 VA Primary

Addresses

Primary practice location

7540 Little River Tpke
Suite I
Annandale, VA 22003-2839

Mailing address

11525 Wild Hawthorn CT
Reston, VA 20194-1023
Phone (703) 750-1124

Other identifiers 7

IdentifierTypeStateIssuer
81343OtherMEDICARE RAILROAD
20194OtherOPT CHICE/MAMSI/ALLIANCE
71220001OtherDCBLUE CROSS FEDERAL
9332294MedicaidVA
4090314OtherVAAETNA
290570OtherVABLUE CROSS VIRIGINIA
435496OtherSOUTH HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0103000245VAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vienna Podiatry LTD Past Accepting new patients

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229299200000",
    "number": "1154421352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11525 WILD HAWTHORN CT",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201941023",
            "telephone_number": "703-750-1124",
            "fax_number": "703-750-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 LITTLE RIVER TPKE",
            "address_2": "SUITE I",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032839",
            "telephone_number": "703-750-1124",
            "fax_number": "703-750-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "MYLES",
        "middle_name": "J",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103000245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "81343",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPT CHICE/MAMSI/ALLIANCE",
            "identifier": "20194",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS FEDERAL",
            "identifier": "71220001",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9332294",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4090314",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS VIRIGINIA",
            "identifier": "290570",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH HEALTH",
            "identifier": "435496",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.