Individual provider Active NPI

Daria Piotrowski, DPM

  • Podiatrist
  • Hampton, VA
National Provider Identifier
1508186370
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0103301048 Issued in VA
Practice address
3000 Coliseum Dr
Ste 205
Hampton, VA 23666-5963
Phone
(757) 224-7605
Fax
(757) 220-9070
NPI assigned
Jun 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0103301048 VA Primary
Podiatrist 213E00000X POD001141 GA

Addresses

Primary practice location

3000 Coliseum Dr
Ste 205
Hampton, VA 23666-5963

Mailing address

1155 Professional Dr
Williamsburg, VA 23185-3329
Phone (804) 966-5070

Other practice location 1

171 N Main St
Suffolk, VA 23434-4507
Phone (757) 934-0768

Other identifiers 1

IdentifierTypeStateIssuer
1508186370MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110413000974 VA Practitioner - Podiatry 0840474987 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sara Bouraee LLCGroup PAC ID 7719056076, 5 clinicians
Mountain Spring Vascular LLCGroup PAC ID 2062826316, 28 clinicians

Practice addresses (Care Compare)

2114 Hartford Rd
Suite a
Hampton, VA 23666-2409
Phone (757) 224-7605

550 Broadview Ave
Suite 102
Warrenton, VA 20186-2036
Phone (888) 628-8272

601 Old Wagner Rd
BLDG D
Petersburg, VA 23805-9313
Phone (888) 628-8272

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21
Removal of skin lesions21
Removal of nail tissue286
Removal or shaving of skin growth113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD001141GAMDPodiatrist
0103301048VAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sara Bouraee, LLC Podiatrist CurrentSince Aug 1, 2020 Accepting new patients
Sara Bouraee, LLC CurrentSince Aug 1, 2020 Accepting new patients
Mountain Spring Vascular LLC Podiatrist CurrentSince Apr 15, 2026 Accepting new patients
Mountain Spring Vascular LLC Podiatrist CurrentSince Apr 15, 2026 Accepting new patients

Locations

7584 Hospital Dr
Gloucester, VA 23061

2114 Hartford Rd
#A
Hampton, VA 23666
Phone (757) 220-3311

3000 Coliseum Dr
Ste 205
Hampton, VA 23666
Phone (757) 224-7605

1155 Professional Dr
Williamsburg, VA 23185
Phone (757) 220-3311

1155 Professional Dr
Ste 205
Williamsburg, VA 23185

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1508186370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 PROFESSIONAL DR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853329",
            "telephone_number": "804-966-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COLISEUM DR",
            "address_2": "STE 205",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665963",
            "telephone_number": "757-224-7605",
            "fax_number": "757-220-9070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 N Main St",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234344507",
            "country_code": "US",
            "telephone_number": "757-934-0768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIOTROWSKI",
        "first_name": "DARIA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103301048",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001141",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508186370",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.