Active NPI
Kostadinka Hadzijska Skandeva, DPM
- Podiatrist
- Alexandria, VA
National Provider Identifier
1326279084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0103301045
- Practice address
- 6151 Fuller CT
Alexandria, VA 22310-2541 - Phone
- (571) 480-8480
- Fax
- (703) 888-3909
- NPI assigned
- Jul 29, 2009
- Last updated
- Jan 25, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0103301045 | VA | Primary |
Addresses
Primary practice location
6151 Fuller CT
Alexandria, VA 22310-2541
Mailing address
6151 Fuller CT
Alexandria, VA 22310-2541
Phone (571) 480-8480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326279084 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6151 Fuller Court
Alexandria, VA 22310-2541
6151 Fuller CT
Alexandria, VA 22310-2541
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 66 |
| Removal or shaving of skin growth | 28 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Foot & Ankle Center, LLC | Podiatrist | Current | Accepting new patients |
Locations
6151 Fuller Ct
Alexandria, VA 22310
Phone (571) 480-8480
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485302400000",
"number": "1326279084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6151 FULLER CT",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223102541",
"telephone_number": "571-480-8480",
"fax_number": "703-888-3909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6151 FULLER CT",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223102541",
"telephone_number": "571-480-8480",
"fax_number": "703-888-3909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKANDEVA",
"first_name": "KOSTADINKA",
"middle_name": "HADZIJSKA",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-29",
"last_updated": "2017-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "VA",
"license": "0103301045",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1326279084",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.