Active NPI
National Capital Foot & Ankle Center, PC
- Durable Medical Equipment & Medical Supplies
- Potomac, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- PO1000050
- Legal business name
- NATIONAL CAPITAL FOOT & ANKLE CENTER, PC
- Practice address
- 12400 Park Potomac Ave Ste R2
Potomac, MD 20854 - Phone
- (301) 983-8202
- Fax
- (877) 810-5148
- NPI assigned
- Dec 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Franklin Randall Polun, DPM
- Title
- Owner
- Phone
- (202) 966-0900
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | PO1000050 | DC | Primary |
Addresses
Primary practice location
12400 Park Potomac Ave Ste R2
Potomac, MD 20854
Mailing address
12400 Park Potomac Ave Ste R2
Potomac, MD 20854-7024
Phone (301) 983-8202
Other practice location 1
12400 Park Potomac Ave Ste R2
Potomac, MD 20854
Phone (301) 983-8202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930035504 | MD | DME Supplier - Physician - Podiatry | 6204854532 | Practice locations: Potomac, MD |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| National Capital Foot & Ankle Cente | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- National Capital Foot Ankle Center PC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatrist
- Potomac, MD
- NPI 1235156951
-
- Customized Equipment (DME)
- Washington, DC
- NPI 1952586760
Locations
10238 River Rd
Unit A
Potomac, MD 20854
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Potomac, MD
- NPI 1881697886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718064000000",
"number": "1194909945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12400 PARK POTOMAC AVE STE R2",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208547024",
"telephone_number": "301-983-8202",
"fax_number": "877-810-5148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12400 PARK POTOMAC AVE STE R2",
"city": "POTOMAC",
"state": "MD",
"postal_code": "20854",
"telephone_number": "301-983-8202",
"fax_number": "877-810-5148"
}
],
"practiceLocations": [
{
"address_1": "12400 Park Potomac Ave Ste R2",
"address_purpose": "LOCATION",
"city": "Potomac",
"state": "MD",
"postal_code": "20854",
"country_code": "US",
"telephone_number": "301-983-8202",
"fax_number": "877-810-5148",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NATIONAL CAPITAL FOOT & ANKLE CENTER, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-27",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A",
"authorized_official_last_name": "POLUN",
"authorized_official_first_name": "FRANKLIN",
"authorized_official_middle_name": "RANDALL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "202-966-0900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "DC",
"license": "PO1000050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.