Individual provider Active NPI

Asifa Pathan, DPM

  • Foot Surgery Podiatrist
  • Manassas, VA
National Provider Identifier
1528391067
Registry record updated Sep 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
0103301021 Issued in VA
Practice address
9001 Digges Rd Ste 201
Manassas, VA 20110-4414
Phone
(703) 436-1037
Fax
(703) 436-8307
NPI assigned
Sep 16, 2009
Last updated
Sep 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 0103301021 VA Primary

Addresses

Primary practice location

9001 Digges Rd Ste 201
Manassas, VA 20110-4414

Mailing address

9001 Digges Rd Ste 201
Manassas, VA 20110-4414
Phone (703) 436-1037

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
I20100421000094 VA Practitioner - Podiatry 9032246285 Reassigns benefits to 1 organization
I20110301000464 DC Practitioner - Podiatry 9032246285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3650 Joseph Siewick Dr
Suite 200
Fairfax, VA 22033-1712
Phone (703) 436-1037

8835 Liberty Oaks PL
Nokesville, VA 20181-3254
Phone (703) 436-1037

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue66
Removal of skin lesions22
Removal of nail tissue646
Removal or shaving of skin growth390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apna Podiatry Foot Surgery CurrentSince Oct 26, 2009 Accepting new patients
Virginia Cancer Specialists, P.C. PastSince Aug 24, 2010 Accepting new patients

Locations

3650 Joseph Siewick Dr
Ste 200
Fairfax, VA 22033
Phone (703) 280-5390

9001 Digges Rd
Ste 201
Manassas, VA 20110
Phone (703) 369-1010

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694304000000",
    "number": "1528391067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 DIGGES RD STE 201",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104414",
            "telephone_number": "703-436-1037",
            "fax_number": "703-436-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 DIGGES RD STE 201",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104414",
            "telephone_number": "703-436-1037",
            "fax_number": "703-436-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAN",
        "first_name": "ASIFA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2023-09-10",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "VA",
            "license": "0103301021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.