Active NPI
Robert L Vanfosson, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Great Mills, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 01346
- 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, 2007
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 401 |
| Removal of skin lesions | 368 |
| Removal of nail tissue | 2597 |
| Removal or shaving of skin growth | 825 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01346 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary's Multi-Specialty Surgery Centre, Inc. | Current | Accepting new patients | |
| Capital Foot & Ankle Care Centre PA | Foot & Ankle Surgery | Current | Accepting new patients |
| Capital Foot & Ankle Care Centre, PA | Foot & Ankle Surgery | Current | 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.
-
- Foot & Ankle Surgery Podiatrist
- Great Mills, MD
- NPI 1053320580
-
- Ambulatory Surgical Clinic/Center
- Great Mills, MD
- NPI 1295750594
-
dba Charlotte Hall Foot & Ankle
- Foot & Ankle Surgery Podiatrist
- Charlotte Hall, MD
- NPI 1205264363
-
dba Prince Frederick Foot & Ankle Care
- Foot & Ankle Surgery Podiatrist
- Prince Frederick, MD
- NPI 1083955405
-
dba Leonardtown Foot & Ankle
- Foot & Ankle Surgery Podiatrist
- Leonardtown, MD
- NPI 1225466485
-
dba Solomons Foot and Ankle Care
- Foot & Ankle Surgery Podiatrist
- Solomons, MD
- NPI 1609115450
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MedStar St. Mary's Hospital
- General Acute Care Hospital
- Leonardtown, MD
- NPI 1780650473
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.