Individual provider Active NPI

Robert L Vanfosson, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Great Mills, MD
National Provider Identifier
1194734780
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01346 Issued in MD
Practice address
22325 Greenview Pkwy
Great Mills, MD 20634-3491
Phone
(301) 862-3338
Fax
(301) 862-3335
NPI assigned
Aug 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 01346 MD Primary

Addresses

Primary practice location

22325 Greenview Pkwy
Great Mills, MD 20634-3491

Mailing address

PO Box 1310
California, MD 20619-1310
Phone (301) 862-3338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050630000889 MD Practitioner - Podiatry 4082650908 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Foot and Ankle Care Centre, PAGroup PAC ID 5698729366, 2 clinicians

Practice addresses (Care Compare)

22325 Greenview Pkwy
Unit 1a
Great Mills, MD 20634-4405
Phone (301) 862-3338

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue401
Removal of skin lesions368
Removal of nail tissue2597
Removal or shaving of skin growth825
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01346MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary's Multi-Specialty Surgery Centre, Inc. CurrentSince Feb 2, 2004 Accepting new patients
Capital Foot & Ankle Care Centre PA Foot & Ankle Surgery CurrentSince Jan 1, 2003 Accepting new patients
Capital Foot & Ankle Care Centre, PA Foot & Ankle Surgery CurrentSince Jul 1, 1997 Accepting new patients

Locations

22741 Three Notch Rd
California, MD 20619
Phone (301) 862-3338

37767 Market Dr
Unit 100
Charlotte Hall, MD 20622
Phone (301) 472-1845

22325 Greenview Pkwy
Unit 1A
Great Mills, MD 20634
Phone (301) 862-3338

22325 Greenview Pkwy
Great Mills, MD 20634
Phone (301) 862-3338

8700 Central Ave
Ste 105
Landover, MD 20785
Phone (301) 499-3338

Organizations & group practices 6

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.

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194734780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1310",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206191310",
            "telephone_number": "301-862-3338",
            "fax_number": "301-863-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22325 GREENVIEW PKWY",
            "city": "GREAT MILLS",
            "state": "MD",
            "postal_code": "206343491",
            "telephone_number": "301-862-3338",
            "fax_number": "301-862-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANFOSSON",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Mills, MD

Sources for this page

Verify at the official NPI Registry.