Organization Active NPI

District Foot and Ankle

  • Foot & Ankle Surgery Podiatrist
  • Alexandria, VA
National Provider Identifier
1508329913
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
DISTRICT FOOT AND ANKLE
Practice address
4875 Eisenhower Ave Ste 230
Alexandria, VA 22304-4833
Phone
(703) 832-9013
NPI assigned
Apr 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Lonny Nodelman, DPMNPI 1891058921
Title
Owner
Phone
(703) 832-9013

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

4875 Eisenhower Ave Ste 230
Alexandria, VA 22304-4833

Mailing address

4875 Eisenhower Ave Ste 230
Alexandria, VA 22304-4833
Phone (703) 832-9013

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190911000968 DC Part B Supplier - Clinic/Group Practice 5991034225 Receives reassigned benefits from 2 practitioners
Practice locations: Alexandria, VA
O20250918000210 VA Part B Supplier - Clinic/Group Practice 5991034225 Receives reassigned benefits from 2 practitioners
Practice locations: Leesburg, VA

National Provider Directory

National Provider Directory

Locations

4875 Eisenhower Ave
Ste 230
Alexandria, VA 22304
Phone (703) 832-9013

3299 Woodburn Rd
Ste 180
Annandale, VA 22003
Phone (703) 849-8142

Practitioners & affiliated clinicians

Practitioners 2

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": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1508329913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 EISENHOWER AVE STE 230",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223044833",
            "telephone_number": "703-832-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 EISENHOWER AVE STE 230",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223044833",
            "telephone_number": "703-832-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTRICT FOOT AND ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "NODELMAN",
        "authorized_official_first_name": "LONNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-832-9013",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.