Gregory Rose

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0103301491 Issued in VA

Practice address

46440 Benedict Dr Ste 209
Sterling, VA 20164-6602

Phone

(703) 583-5959

Fax

(703) 583-5995

NPI assigned

Jun 5, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Potomac Podiatry PLLCGroup PAC ID 8527086834, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Potomac Podiatry PLLC

  • Foot & Ankle Surgery Podiatrist
  • Woodbridge, VA
  • NPI 1184731549

  DC

  Medicare reassignment Care Compare group NPD
• Potomac Podiatry PLLC

  • Foot & Ankle Surgery Podiatrist
  • Crofton, MD
  • NPI 1972171411
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1295429223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14010 SMOKETOWN RD STE 103",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924723",
            "telephone_number": "703-583-5959",
            "fax_number": "703-583-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46440 BENEDICT DR STE 209",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201646602",
            "telephone_number": "703-583-5959",
            "fax_number": "703-583-5995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14010 Smoketown Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221924723",
            "country_code": "US",
            "telephone_number": "703-583-5959",
            "fax_number": "703-583-5995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "GREGORY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-05",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30017874780002",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Jean Roll, PT
• Paola Gissel Romero Rodriguez
• Rooted Self Counseling PLLC
• Agana Rosario
• Ashley Rose, M.D.
• Nhora Edith Rosero-Fricke
• Tamira Lynn Rosner, M.ED., LPCC, LPC
• Derek Ross, ATC
• Theresa Mary Roth, RD
• Michael Round, LMT

• Foot & Ankle Surgery Podiatrist in Sterling, VA
• Providers in Sterling, VA by specialty
• Foot & Ankle Surgery Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.

Verify at the official NPI Registry.