Individual provider Active NPI

Jugal Dharia, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fairfax, VA
National Provider Identifier
1174940449
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103301208 Issued in VA
Practice address
10721 Main St Ste 3500
Fairfax, VA 22030-6909
Phone
(703) 352-8888
Fax
(703) 352-8994
NPI assigned
Mar 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 0103301208 VA Primary

Addresses

Primary practice location

10721 Main St Ste 3500
Fairfax, VA 22030-6909

Mailing address

10721 Main St
Suite #3500
Fairfax, VA 22030
Phone (703) 352-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170906002908 DC Practitioner - PodiatryPractitioner - Sports Medicine 5890068266 Reassigns benefits to 2 organizations
I20211216000194 VA Practitioner - Podiatry 5890068266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PodiatryAlso: Sports Medicine
Education
Temple University School of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Consultant Services LLCGroup PAC ID 8426420639, 2 clinicians

Practice addresses (Care Compare)

10721 Main St
Suite 3500
Fairfax, VA 22030-6909

44055 Riverside Pkwy
Suite 150
Leesburg, VA 20176-5176
Phone (703) 858-6399

Hospital & facility affiliations

  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue138
Removal of skin lesions1-10
Removal of nail tissue62
Removal or shaving of skin growth51
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Consultant Services LLC Foot & Ankle Surgery CurrentSince Sep 20, 2022 Accepting new patients

Locations

10721 Main St
Ste 3500
Fairfax, VA 22030
Phone (703) 352-8888

44055 Riverside Pkwy
Ste 150
Leesburg, VA 20176
Phone (703) 858-3050

Interoperability endpoints

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

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174940449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST",
            "address_2": "SUITE #3500",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030",
            "telephone_number": "703-352-8888",
            "fax_number": "703-352-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST STE 3500",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306909",
            "telephone_number": "703-352-8888",
            "fax_number": "703-352-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHARIA",
        "first_name": "JUGAL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.