Individual provider Active NPI

Carla Emilia Ribeiro-Bachtell, DPM

  • Foot & Ankle Surgery Podiatrist
  • Alexandria, VA
National Provider Identifier
1487762522
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103300837 Issued in VA
Practice address
4660 Kenmore Ave
Suite 602
Alexandria, VA 22304-1535
Phone
(703) 637-9917
Fax
(703) 566-5201
NPI assigned
Aug 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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 0103300837 VA Primary

Addresses

Primary practice location

4660 Kenmore Ave
Suite 602
Alexandria, VA 22304-1535

Mailing address

4660 Kenmore Ave
Suite 602
Alexandria, VA 22304-1535
Phone (703) 637-9917

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050823000346 DC Practitioner - Podiatry 6709817414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4660 Kenmore Ave
Suite 602
Alexandria, VA 22304-1300
Phone (703) 637-9917

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue55
Removal or shaving of skin growth18
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pace Foot and Ankle Center Foot & Ankle Surgery CurrentSince Jul 6, 2005 Accepting new patients
Ribeiro Foot and Ankle Center CurrentSince Nov 9, 2014 Accepting new patients

Locations

2616 Sherwood Hall Ln
Ste 401
Alexandria, VA 22306
Phone (703) 360-9292

6355 Walker Ln
Ste 305
Alexandria, VA 22310
Phone (703) 338-3975

4660 Kenmore Ave
Ste 602
Alexandria, VA 22304
Phone (703) 637-9917

Interoperability endpoints

  • Direct secure messaging: carla.ribeiro.bachtell.1@9504.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9504/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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1487762522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE",
            "address_2": "SUITE 602",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041535",
            "telephone_number": "703-637-9917",
            "fax_number": "703-566-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE",
            "address_2": "SUITE 602",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041535",
            "telephone_number": "703-637-9917",
            "fax_number": "703-566-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBEIRO-BACHTELL",
        "first_name": "CARLA",
        "middle_name": "EMILIA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103300837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.