Active NPI
Jerald A. Kriger, D.P.M.
- Foot Surgery Podiatrist
- Manassas, VA
National Provider Identifier
1477638526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 0103000268
- Practice address
- 8605 Sudley Rd
Manassas, VA 20110-4583 - Phone
- (703) 330-4450
- Fax
- (703) 330-4855
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 0103000268 | VA | Primary |
Addresses
Primary practice location
8605 Sudley Rd
Manassas, VA 20110-4583
Mailing address
8605 Sudley Rd
Manassas, VA 20110-4583
Phone (703) 330-4450
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035461 | Other | VA | ANTHEM BLUE SHIELD OF VA |
| 21906 | Other | ONENET | |
| 21906 | Other | MDIPA | |
| 21906 | Other | UNITEDHEALTHCARE | |
| 480888469 | Other | VA | MEDICARE RR |
| 009300627 | Medicaid | VA | |
| 71340001 | Other | CAREFIRST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0103000268 | VA | MD | Foot Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398988800000",
"number": "1477638526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8605 SUDLEY RD",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201104583",
"telephone_number": "703-330-4450",
"fax_number": "703-330-4855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8605 SUDLEY RD",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201104583",
"telephone_number": "703-330-4450",
"fax_number": "703-330-4855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRIGER",
"first_name": "JERALD",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2014-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "VA",
"license": "0103000268",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE SHIELD OF VA",
"identifier": "035461",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONENET",
"identifier": "21906",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDIPA",
"identifier": "21906",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "21906",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "480888469",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009300627",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "71340001",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.