Individual provider Active NPI

Richard Scott Mendelsohn, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fairfax, VA
National Provider Identifier
1174516819
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
727 Issued in VA
Practice address
3020 Hamaker CT Ste 201
Fairfax, VA 22031-2220
Phone
(703) 273-9818
Fax
(703) 832-8307
NPI assigned
Aug 29, 2005
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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 727 VA Primary

Addresses

Primary practice location

3020 Hamaker CT Ste 201
Fairfax, VA 22031-2220

Mailing address

PO Box 825159
Philadelphia, PA 19182-5159
Phone (703) 273-9818

Other practice location 1

1313 Dolley Madison Blvd Ste 403
Mc Lean, VA 22101-3926
Phone (703) 556-8637

Other identifiers 1

IdentifierTypeStateIssuer
009302492MedicaidVA

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
I20050715000357 VA Practitioner - Podiatry 9032145594 Reassigns benefits to 1 organization
Receives reassigned benefits from 5 practitioners
Practice locations: Ashburn, VA; Oakton, VA
I20120105000249 DC Practitioner - Podiatry 9032145594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3020 Hamaker CT
Suite 201
Fairfax, VA 22031-2220
Phone (703) 207-0073

Merit-based Incentive Payment System (MIPS)

Final score
88.95 of 100Reported as group
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15
Removal of skin lesions40
Removal of nail tissue298
Removal or shaving of skin growth165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
727VAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Foot & Ankle Surgery CurrentSince Jul 1, 2021 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Foot & Ankle Surgery CurrentSince Jul 1, 2021 Accepting new patients

Locations

10901 Connecticut Ave
Ste 200
Kensington, MD 20895
Phone (301) 949-2000

20905 Professional Plz
Ste 310
Ashburn, VA 20147
Phone (703) 273-9267

3020 Hamaker Ct
Ste 201
Fairfax, VA 22031
Phone (703) 207-0073

9918 Main St
Fairfax, VA 22031
Phone (703) 273-9818

66 Parkway Ln
Ste 102
Fishersville, VA 22939
Phone (540) 949-5150

1313 Dolley Madison Blvd
Ste 403
McLean, VA 22101
Phone (703) 556-8637

1760 Reston Pkwy
Ste 310
Reston, VA 20190
Phone (703) 471-4600

Practitioners & affiliated clinicians

Practitioners 5

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.

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1174516819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 825159",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191825159",
            "telephone_number": "703-273-9818",
            "fax_number": "866-453-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 HAMAKER CT STE 201",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312220",
            "telephone_number": "703-273-9818",
            "fax_number": "703-832-8307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1313 Dolley Madison Blvd Ste 403",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221013926",
            "country_code": "US",
            "telephone_number": "703-556-8637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDELSOHN",
        "first_name": "RICHARD",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009302492",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.