Organization Active NPI

Northern Virginia Foot & Ankle Associates LLC

  • Podiatrist
  • Vienna, VA
National Provider Identifier
1508065335
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0103300912 Issued in VA
Legal business name
NORTHERN VIRGINIA FOOT & ANKLE ASSOCIATES LLC
Practice address
8320 Old Courthouse Rd
Suite 304
Vienna, VA 22182-3853
Phone
(703) 734-1311
Fax
(703) 734-9090
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Francis J Smith, DPMNPI 1437249802
Title
Owner/DPM
Phone
(703) 734-1311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 0103300912 VA Primary

Addresses

Primary practice location

8320 Old Courthouse Rd
Suite 304
Vienna, VA 22182-3853

Mailing address

8320 Old Courthouse Rd
Suite 304
Vienna, VA 22182-3853
Phone (703) 734-1311

Other identifiers 2

IdentifierTypeStateIssuer
0103300912OtherVAVIRGINIA STATE LICENSE
0103000918OtherVAVIRGINIA STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040802001193 DC Part B Supplier - Clinic/Group Practice 8022089374 Receives reassigned benefits from 3 practitioners
Practice locations: Vienna, VA
O20100930041496 VA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 8022089374 Practice locations: Vienna, VA

National Provider Directory

National Provider Directory

Locations

7130 Heritage Village Plz
Ste 102
Gainesville, VA 20155
Phone (703) 734-1311

8320 Old Courthouse Rd
Ste 304
Vienna, VA 22182
Phone (703) 734-1311

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1508065335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 OLD COURTHOUSE RD",
            "address_2": "SUITE 304",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823853",
            "telephone_number": "703-734-1311",
            "fax_number": "703-734-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8320 OLD COURTHOUSE RD",
            "address_2": "SUITE 304",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823853",
            "telephone_number": "703-734-1311",
            "fax_number": "703-734-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN VIRGINIA FOOT & ANKLE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/DPM",
        "authorized_official_telephone_number": "703-734-1311",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103300912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA STATE LICENSE",
            "identifier": "0103300912",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA STATE LICENSE",
            "identifier": "0103000918",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.