Individual provider Active NPI

Gerard Julio Ranieri, DPM

  • Podiatrist
  • Woodbridge, VA
National Provider Identifier
1629066816
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0103000771 Issued in VA
Practice address
12656-B Lake Ridge Drive
Woodbridge, VA 22192-7504
Phone
(703) 491-2603
Fax
(703) 491-0752
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0103000771 VA Primary
Podiatrist 213E00000X 36002143 OH

Addresses

Primary practice location

12656-B Lake Ridge Drive
Woodbridge, VA 22192-7504

Mailing address

12656 Lake Ridge Dr Ste B
Woodbridge, VA 22192-7504
Phone (703) 491-2603

Other identifiers 13

IdentifierTypeStateIssuer
299434OtherVAANTHEM
311280402OtherTRICARE TRICARE PRIME
311280402OtherUNICARE NCPPO
4204OtherCARE FIRST BCBS
417278OtherVAONE NET
0004509259OtherAETNA PPO
299447OtherVAANTHEM
311280402OtherNCPPO
0576286OtherAETNA HMO
226088OtherHEALTHKEEPERS ANTHEM
1858423OtherCIGNA PPO
311280402OtherMAILHANDLERS PPO
33004OtherCOMMUNITY CARE NTWK

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
I20070921000537 VA Practitioner - Podiatry 8921192840 Practice locations: Woodbridge, VA
I20071108000702 DC Practitioner - Podiatry 8921192840 Practice locations: Alexandria, VA; Lorton, VA; Fairfax, VA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C3757KSMDChiropractor
36002143OHMDPodiatrist
0103000771VAMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1629066816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12656 LAKE RIDGE DR STE B",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221927504",
            "telephone_number": "703-491-2603",
            "fax_number": "703-491-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12656-B LAKE RIDGE DRIVE",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221927504",
            "telephone_number": "703-491-2603",
            "fax_number": "703-491-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANIERI",
        "first_name": "GERARD",
        "middle_name": "JULIO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103000771",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002143",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "299434",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE TRICARE PRIME",
            "identifier": "311280402",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE NCPPO",
            "identifier": "311280402",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BCBS",
            "identifier": "4204",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE NET",
            "identifier": "417278",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "0004509259",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "299447",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "311280402",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0576286",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHKEEPERS ANTHEM",
            "identifier": "226088",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "1858423",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAILHANDLERS PPO",
            "identifier": "311280402",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CARE NTWK",
            "identifier": "33004",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.