NPIMap

Organization Active NPI

Frederick Foot and Ankle Specialists PC

  • Foot & Ankle Surgery Podiatrist
  • Frederick, MD
National Provider Identifier
1205906302
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01292 Issued in MD
Legal business name
FREDERICK FOOT AND ANKLE SPECIALISTS PC
Practice address
141 Thomas Johnson Dr
Suite 170
Frederick, MD 21702-4530
Phone
(301) 668-9707
Fax
(301) 668-4927
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Authorized official

Name
Dr. Yenisey Yanes, DPMNPI 1497904106
Title
Owner
Phone
(301) 668-9707

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
Foot & Ankle Surgery PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213ES0103X 01292 MD Primary

Addresses

Primary practice location

141 Thomas Johnson Dr
Suite 170
Frederick, MD 21702-4530

Mailing address

141 Thomas Johnson Dr.
Suite 141
Frederick, MD 21702-4530
Phone (301) 668-9707

Other practice location 1

3430 Worthington Blvd Ste 201
Urbana, MD 21704-7019
Phone (301) 668-9707

Other practice location 2

123 Health Care Ln
Martinsburg, WV 25401-4008
Phone (877) 668-0008

Other identifiers 1

IdentifierTypeStateIssuer
413382000MedicaidMD

Other names 1

  • Frederick Foot and Ankle Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20070222000259 MD Part B Supplier - Clinic/Group Practice 7911915137 Receives reassigned benefits from 9 practitioners
Practice locations: Frederick, MD; Urbana, MD
O20100930045830 MD DME Supplier - Physician - PodiatryDME Supplier - Orthotic Personnel 7911915137 1 other NPI on this enrollment
Practice locations: Frederick, MD
O20181009003655 WV Part B Supplier - Clinic/Group Practice 7911915137 Receives reassigned benefits from 8 practitioners
Practice locations: Martinsburg, WV

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Frederick Foot and Ankle5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

3430 Worthington Blvd
Ste 201
Urbana, MD 21704
Phone (301) 668-9707

Practitioners & affiliated clinicians

Practitioners 12

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": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1205906302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 THOMAS JOHNSON DR.",
            "address_2": "SUITE 141",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024530",
            "telephone_number": "301-668-9707",
            "fax_number": "301-668-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 THOMAS JOHNSON DR",
            "address_2": "SUITE 170",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024530",
            "telephone_number": "301-668-9707",
            "fax_number": "301-668-4927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3430 Worthington Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "MD",
            "postal_code": "217047019",
            "country_code": "US",
            "telephone_number": "301-668-9707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Health Care Ln",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254014008",
            "country_code": "US",
            "telephone_number": "877-668-0008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FREDERICK FOOT AND ANKLE SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "YANES",
        "authorized_official_first_name": "YENISEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-668-9707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413382000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frederick Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Frederick Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.