NPIMap

Organization Active NPI

Maryland Foot & Ankle Restoration, LLC

  • Durable Medical Equipment & Medical Supplies
  • Hyattsville, MD
National Provider Identifier
1194155663
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
01450 Issued in MD
Legal business name
MARYLAND FOOT & ANKLE RESTORATION, LLC
Practice address
6505 Belcrest Rd
Suite 1
Hyattsville, MD 20782-2011
Phone
(301) 699-5900
Fax
(301) 699-9297
NPI assigned
Nov 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Dr. Johny Jamal Motran, D.P.M.NPI 1033315031
Title
Podiatrist/Leading Member
Phone
(301) 699-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 01450 MD Primary

Addresses

Primary practice location

6505 Belcrest Rd
Suite 1
Hyattsville, MD 20782-2011

Mailing address

PO Box 83849
Gaithersburg, MD 20883-3849
Phone (301) 699-5900

Other identifiers 1

IdentifierTypeStateIssuer
415792300MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140220001714 MD DME Supplier - Physician - Podiatry 5991847568 Practice locations: Hyattsville, MD

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Maryland Foot Ankle Restoration LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

9707 Medical Center Dr
Ste 150A
Rockville, MD 20850
Phone (301) 294-3668

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1194155663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83849",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208833849",
            "telephone_number": "301-699-5900",
            "fax_number": "301-699-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 BELCREST RD",
            "address_2": "SUITE 1",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207822011",
            "telephone_number": "301-699-5900",
            "fax_number": "301-699-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND FOOT & ANKLE RESTORATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "MOTRAN",
        "authorized_official_first_name": "JOHNY",
        "authorized_official_middle_name": "JAMAL",
        "authorized_official_title_or_position": "PODIATRIST/LEADING MEMBER",
        "authorized_official_telephone_number": "301-699-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "01450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "415792300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.