Individual provider Active NPI

James M Hurst, DPM

  • Podiatrist
  • Centreville, VA
National Provider Identifier
1215947619
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0103000722 Issued in VA
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

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
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 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue159
Removal of nail tissue349
Removal or shaving of skin growth307

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
0103000722VAMDPodiatrist

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": "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

Verify at the official NPI Registry.