Active NPI
James M Hurst, DPM
- Podiatrist
- Centreville, VA
National Provider Identifier
1215947619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0103000722
- Practice address
- 5729 Centre Square Dr
Centreville, VA 20120-1916 - Phone
- (703) 830-3338
- Fax
- (703) 830-9452
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0103000722 | VA | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0103000722 | VA |
Addresses
Primary practice location
5729 Centre Square Dr
Centreville, VA 20120-1916
Mailing address
5729 Centre Square Dr
Centreville, VA 20120-1916
Phone (703) 830-3338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080123000100 | DC | Practitioner - Podiatry | 2668553132 | Practice locations: Centreville, VA; Herndon, VA |
| I20130308000100 | VA | Practitioner - Podiatry | 2668553132 | Practice locations: Gainesville, VA; Centreville, VA |
| O20100930030640 | VA | DME Supplier - Physician - Podiatry | 5890813794 | Practice locations: Centreville, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5729 Centre Square Dr
Centreville, VA 20120-1916
Phone (703) 830-3338
9659 Manassas Dr
Centreville, VA 20120-1916
Phone (703) 257-3455
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 159 |
| Removal of nail tissue | 349 |
| Removal or shaving of skin growth | 307 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0103000722 | VA | MD | Podiatrist |
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Fair Oaks Hospital
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205280000000",
"number": "1215947619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5729 CENTRE SQUARE DR",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201201916",
"telephone_number": "703-830-3338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5729 CENTRE SQUARE DR",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201201916",
"telephone_number": "703-830-3338",
"fax_number": "703-830-9452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURST",
"first_name": "JAMES",
"middle_name": "M",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2008-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "VA",
"license": "0103000722",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "VA",
"license": "0103000722",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centreville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.