Individual provider Active NPI

Leland T Gilmore, DPM

  • Podiatrist
  • Alexandria, VA
National Provider Identifier
1235135815
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0103000826 Issued in VA
Practice address
8101 Hinson Farm Rd Ste 301
Alexandria, VA 22306-3405
Phone
(703) 560-3773
Fax
(703) 799-0050
NPI assigned
Jun 28, 2005
Last updated
Jan 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0103000826 VA Primary

Addresses

Primary practice location

8101 Hinson Farm Rd Ste 301
Alexandria, VA 22306-3405

Mailing address

8101 Hinson Farm Rd Ste 301
Alexandria, VA 22306-3405
Phone (703) 560-3773

Other practice location 1

8550 Lee Hwy
Ste 750
Fairfax, VA 22031-1520
Phone (703) 560-3773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120405000046 DC Practitioner - Podiatry 8224141973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Podiatry Associates PCGroup PAC ID 7416077672, 2 clinicians

Practice addresses (Care Compare)

8101 Hinson Farm Rd
Suite 301
Alexandria, VA 22306-3405
Phone (703) 560-3773

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 tissue66
Removal of skin lesions1-10
Removal of nail tissue157
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0103000826VAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Podiatry Associates PC Podiatrist CurrentSince Jul 30, 1990 Accepting new patients

Locations

8101 Hinson Farm Rd
Ste 119
Alexandria, VA 22306
Phone (703) 560-3773

8101 Hinson Farm Rd
Ste 301
Alexandria, VA 22306
Phone (703) 560-3773

Organizations & group practices 1

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.

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1235135815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD STE 301",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063405",
            "telephone_number": "703-560-3773",
            "fax_number": "703-799-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD STE 301",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063405",
            "telephone_number": "703-560-3773",
            "fax_number": "703-799-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8550 Lee Hwy",
            "address_2": "Ste 750",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220311520",
            "country_code": "US",
            "telephone_number": "703-560-3773",
            "fax_number": "703-573-5361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "LELAND",
        "middle_name": "T",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103000826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.