Individual provider Active NPI

Ami Parikh, DPM

  • Foot & Ankle Surgery Podiatrist
  • Herndon, VA
National Provider Identifier
1477790533
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103301005 Issued in VA
Practice address
112 Elden St
Suite D
Herndon, VA 20170-4874
Phone
(703) 437-5353
NPI assigned
Jan 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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 0103301005 VA Primary

Addresses

Primary practice location

112 Elden St
Suite D
Herndon, VA 20170-4874

Mailing address

112 Elden St
Suite D
Herndon, VA 20170-4874
Phone (703) 437-5353

Other identifiers 2

IdentifierTypeStateIssuer
1629428750OtherGROUP NPI DME SPRINGFIELD
1770828527OtherGROUP NPI

Other names 1

  • Ami Parikh Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20111117000001 VA Practitioner - Podiatry 9032383658 Reassigns benefits to 1 organization
I20130607000437 DC Practitioner - Podiatry 9032383658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Foot and Ankle PLLCGroup PAC ID 2860630613, 3 clinicians

Practice addresses (Care Compare)

112 Elden St
Suite D
Herndon, VA 20170-4832

7007 Backlick CT
Springfield, VA 22151-3937
Phone (703) 642-5340

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue76
Removal or shaving of skin growth40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0103301005VAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Foot and Ankle PLLC Foot & Ankle Surgery CurrentSince Mar 19, 2013 Accepting new patients
Nova Foot and Ankle PLLC Foot & Ankle Surgery CurrentSince Mar 19, 2013 Accepting new patients

Locations

112 Elden St
Ste D
Herndon, VA 20170
Phone (703) 437-5353

7007 Backlick Ct
Ste 100
Springfield, VA 22151

7007 Backlick Ct
Springfield, VA 22151
Phone (703) 642-5340

Interoperability endpoints

  • Direct secure messaging: ami.parikh.1@8239.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8239/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1477790533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ELDEN ST",
            "address_2": "SUITE D",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704874",
            "telephone_number": "703-437-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ELDEN ST",
            "address_2": "SUITE D",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704874",
            "telephone_number": "703-437-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIKH",
        "first_name": "AMI",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-12",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI DME SPRINGFIELD",
            "identifier": "1629428750",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1770828527",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMI",
            "last_name": "PARIKH",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Herndon, VA

Sources for this page

Verify at the official NPI Registry.