NPIMap

Organization Active NPI

Progressive Feet LLC

  • Foot & Ankle Surgery Podiatrist
  • Oxon Hill, MD
National Provider Identifier
1609380989
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
PROGRESSIVE FEET LLC
Practice address
6130 Oxon Hill Rd Ste 305
Oxon Hill, MD 20745-3168
Phone
(301) 567-5005
Fax
(301) 839-5677
NPI assigned
Nov 26, 2017
Last updated
Aug 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Authorized official

Name
Arash Ari Changizi, DPMNPI 1487090494
Title
Owner
Phone
(301) 567-5005

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary
Foot Surgery Podiatrist 213ES0131X 01608 MD

Addresses

Primary practice location

6130 Oxon Hill Rd Ste 305
Oxon Hill, MD 20745-3168

Mailing address

6130 Oxon Hill Rd Ste 305
Oxon Hill, MD 20745-3168
Phone (301) 567-5005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180118000452 DC Part B Supplier - Clinic/Group Practice 1951660042 Receives reassigned benefits from 19 practitioners
8 other NPIs on this enrollment
Practice locations: Arlington, VA; Burtonsville, MD; Gaithersburg, MD; Oxon Hill, MD; Rockville, MD; Springfield, VA; Takoma Park, MD
O20180321002683 MD DME Supplier - Physician - Podiatry 1951660042 Practice locations: Oxon Hill, MD

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

6188 Oxon Hill Rd
Ste 804
Oxon Hill, MD 20745
Phone (301) 567-5005

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1511654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1609380989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 OXON HILL RD STE 305",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453168",
            "telephone_number": "301-567-5005",
            "fax_number": "301-839-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 OXON HILL RD STE 305",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453168",
            "telephone_number": "301-567-5005",
            "fax_number": "301-839-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE FEET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-26",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "CHANGIZI",
        "authorized_official_first_name": "ARASH",
        "authorized_official_middle_name": "ARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-567-5005",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MD",
            "license": "01608",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.