Active NPI
Gerard Julio Ranieri, DPM
- Podiatrist
- Woodbridge, VA
National Provider Identifier
1629066816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0103000771
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 299434 | Other | VA | ANTHEM |
| 311280402 | Other | TRICARE TRICARE PRIME | |
| 311280402 | Other | UNICARE NCPPO | |
| 4204 | Other | CARE FIRST BCBS | |
| 417278 | Other | VA | ONE NET |
| 0004509259 | Other | AETNA PPO | |
| 299447 | Other | VA | ANTHEM |
| 311280402 | Other | NCPPO | |
| 0576286 | Other | AETNA HMO | |
| 226088 | Other | HEALTHKEEPERS ANTHEM | |
| 1858423 | Other | CIGNA PPO | |
| 311280402 | Other | MAILHANDLERS PPO | |
| 33004 | Other | COMMUNITY CARE NTWK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| C3757 | KS | MD | Chiropractor |
| 36002143 | OH | MD | Podiatrist |
| 0103000771 | VA | MD | Podiatrist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.