Individual provider Active NPI

Hesam Naenifard

  • Foot & Ankle Surgery Podiatrist
  • Woodbridge, VA
National Provider Identifier
1396309787
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01732 Issued in MD
Practice address
2296 Opitz Blvd Ste 510
Woodbridge, VA 22191-3348
Phone
(703) 451-0232
NPI assigned
May 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 01732 MD Primary

Addresses

Primary practice location

2296 Opitz Blvd Ste 510
Woodbridge, VA 22191-3348

Mailing address

831 University Blvd E
Silver Spring, MD 20903-2916
Phone (240) 641-8735

Other practice location 1

6217 Old Keene Mill Ct
Springfield, VA 22152-2324
Phone (703) 451-0232

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
I20220621003251 DC Practitioner - Podiatry 3678952611 Reassigns benefits to 1 organization
I20241211000090 VA Practitioner - Podiatry 3678952611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Feet LLCGroup PAC ID 1951660042, 19 clinicians

Practice addresses (Care Compare)

6217 Old Keene Mill CT
Springfield, VA 22152-2324
Phone (703) 451-5179

8565 Sudley Rd
Suite B
Manassas, VA 20110-3864
Phone (571) 285-4208

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.45 of 100Reported as group
Quality
23.99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue120
Removal of nail tissue242
Removal or shaving of skin growth34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Feet LLC Foot & Ankle Surgery CurrentSince Oct 15, 2024 Accepting new patients
Progressive Feet LLC Foot & Ankle Surgery Current Accepting new patients
Progressive Feet LLC Foot & Ankle Surgery CurrentSince Nov 1, 2024 Accepting new patients
Progressive Feet LLC Foot & Ankle Surgery CurrentSince Oct 15, 2024 Accepting new patients
Progressive Feet LLC Foot & Ankle Surgery Past Accepting new patients
Progressive Feet LLC Foot & Ankle Surgery Past Accepting new patients

Locations

6130 Oxon Hill Rd
Ste 305
Oxon Hill, MD 20745
Phone (301) 567-5005

8565 Sudley Rd
Ste B
Manassas, VA 20110
Phone (571) 428-2350

6217 Old Keene Mill Ct
Springfield, VA 22152
Phone (703) 451-0232

2296 Opitz Blvd
Ste 510
Woodbridge, VA 22191
Phone (571) 285-4208

Interoperability endpoints

  • Direct secure messaging: hnaenifard925236@direct.umm.edu

Organizations & group practices 6

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 2

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": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1396309787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 UNIVERSITY BLVD E",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209032916",
            "telephone_number": "240-641-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2296 OPITZ BLVD STE 510",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913348",
            "telephone_number": "703-451-0232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6217 Old Keene Mill Ct",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221522324",
            "country_code": "US",
            "telephone_number": "703-451-0232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAENIFARD",
        "first_name": "HESAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-01",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.