NPIMap

Organization Active NPI

National Capital Foot & Ankle Center, PC

  • Podiatrist
  • Potomac, MD
National Provider Identifier
1235156951
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO428 Issued in DC
Legal business name
NATIONAL CAPITAL FOOT & ANKLE CENTER, PC
Doing business as
National Capital Foot & Ankle
Practice address
12400 Park Potomac Ave # R2
Potomac, MD 20854-6973
Phone
(301) 983-8202
Fax
(877) 810-5148
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Authorized official

Name
Dr. Franklin R Polun, DPMNPI 1881697886
Title
Owner
Phone
(301) 983-8201

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO428 DC Primary
Podiatric Clinic/Center 261QP1100X

Addresses

Primary practice location

12400 Park Potomac Ave # R2
Potomac, MD 20854-6973

Mailing address

12400 Park Potomac Ave Ste R2
Potomac, MD 20854-7024
Phone (301) 983-8202

Other practice location 1

5215 Loughboro Rd NW Ste 520
Washington, DC 20016-2628
Phone (202) 966-0900

Other names 1

  • National Capital Foot & Ankle Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051109000239 DC Part B Supplier - Clinic/Group Practice 6204854532 Receives reassigned benefits from 4 practitioners
Practice locations: Washington, DC; 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).

National Provider Directory

National Provider Directory
Tax ID family
National Capital Foot Ankle Center PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

5225 Wisconsin Ave NW
Ste 200
Washington, DC 20015
Phone (703) 888-8589

5225 Wisconsin Ave NW
Ste 200A
Washington, DC 20015

12400 Park Potomac Ave
Ste R2
Potomac, MD 20854
Phone (301) 983-8202

Practitioners & affiliated clinicians

Practitioners 4

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": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1235156951",
    "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 # R2",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208546973",
            "telephone_number": "301-983-8202",
            "fax_number": "877-810-5148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5215 Loughboro Rd NW Ste 520",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200162628",
            "country_code": "US",
            "telephone_number": "202-966-0900",
            "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": "2006-07-17",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "POLUN",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-983-8201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "DC",
            "license": "PO428",
            "primary": true
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National Capital Foot & Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 21, 2023; 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.