Active NPI
Myles J Schneider, D.P.M
- Podiatrist
- Annandale, VA
National Provider Identifier
1154421352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0103000245
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81343 | Other | MEDICARE RAILROAD | |
| 20194 | Other | OPT CHICE/MAMSI/ALLIANCE | |
| 71220001 | Other | DC | BLUE CROSS FEDERAL |
| 9332294 | Medicaid | VA | |
| 4090314 | Other | VA | AETNA |
| 290570 | Other | VA | BLUE CROSS VIRIGINIA |
| 435496 | Other | SOUTH 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0103000245 | VA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Foot & Ankle Surgery Podiatrist
- Vienna, VA
- NPI 1538340963
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.