Individual provider Active NPI

Steven Adam Gordon, DPM

  • Podiatrist
  • Manassas, VA
National Provider Identifier
1326017302
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0103000879 Issued in VA
Practice address
8577 Sudley Rd Ste a
Manassas, VA 20110-3860
Phone
(703) 368-7166
Fax
(703) 368-5103
NPI assigned
Mar 14, 2006
Last updated
Nov 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0103000879 VA Primary

Addresses

Primary practice location

8577 Sudley Rd Ste a
Manassas, VA 20110-3860

Mailing address

8577A Sudley Rd
Manassas, VA 20110
Phone (703) 368-7166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20091218000458 DC Practitioner - Podiatry 3870572803 Reassigns benefits to 1 organization
I20131029000426 VA Practitioner - Podiatry 3870572803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Perelman School of Med at the University of Pennsylvania, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1760 Reston Pkwy
Suite 310
Reston, VA 20190-3359
Phone (703) 723-2719

66 Pkwy LN
Suite 102
Fishersville, VA 22939-2385
Phone (540) 949-5150

8577 Sudley Rd
Suite a
Manassas, VA 20110-3860
Phone (703) 368-7166

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.95 of 100Reported as group
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue33
Removal of skin lesions33
Removal of nail tissue226
Removal or shaving of skin growth108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0103000879VAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Feb 1, 2022 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Feb 1, 2022 Accepting new patients

Locations

10901 Connecticut Ave
Ste 200
Kensington, MD 20895
Phone (301) 949-2000

66 Parkway Ln
Ste 102
Fishersville, VA 22939
Phone (540) 949-5150

211 Gibson St NW
Ste 101
Leesburg, VA 20176
Phone (703) 777-2101

8577 Sudley Rd
Ste A
Manassas, VA 20110
Phone (703) 368-7166

11737 Bowman Green Dr
Reston, VA 20190
Phone (703) 368-7166

1760 Reston Pkwy
Ste 310
Reston, VA 20190
Phone (703) 471-4600

1860 Town Center Dr
Ste 220
Reston, VA 20190
Phone (703) 391-0211

Organizations & group practices 2

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1326017302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8577A SUDLEY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20110",
            "telephone_number": "703-368-7166",
            "fax_number": "703-368-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8577 SUDLEY RD STE A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201103860",
            "telephone_number": "703-368-7166",
            "fax_number": "703-368-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "STEVEN",
        "middle_name": "ADAM",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103000879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.