Individual provider Active NPI

Robert D Footer, MD

  • Obstetrics & Gynecology Physician
  • Washington, DC
National Provider Identifier
1376562116
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD11768 Issued in DC
Practice address
5215 Loughboro Rd NW
Suite 520
Washington, DC 20016-2618
Phone
(202) 362-0355
Fax
(202) 537-5477
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD11768 DC Primary

Addresses

Primary practice location

5215 Loughboro Rd NW
Suite 520
Washington, DC 20016-2618

Mailing address

5215 Loughboro Rd NW
Suite 520
Washington, DC 20016-2618
Phone (202) 362-0355

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111011000355 DC Practitioner - Obstetrics/Gynecology 4587836812 Reassigns benefits to 1 organization
Practice locations: Washington, DC; Rockville, MD

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Jul 23, 2015 Accepting new patients
Privia Medical Group, LLC Obstetrics & Gynecology CurrentSince Jul 23, 2015 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5215 Loughboro Rd NW
Ste 520
Washington, DC 20016
Phone (202) 362-0355

10401 Old Georgetown Rd
Ste 307
Bethesda, MD 20814
Phone (301) 571-5190

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1376562116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 LOUGHBORO RD NW",
            "address_2": "SUITE 520",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162618",
            "telephone_number": "202-362-0355",
            "fax_number": "202-537-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 LOUGHBORO RD NW",
            "address_2": "SUITE 520",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162618",
            "telephone_number": "202-362-0355",
            "fax_number": "202-537-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOOTER",
        "first_name": "ROBERT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "DC",
            "license": "MD11768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.