Organization Active NPI

Nova Foot and Ankle PLLC

  • Foot & Ankle Surgery Podiatrist
  • Springfield, VA
National Provider Identifier
1629428750
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103301005 Issued in VA
Legal business name
NOVA FOOT AND ANKLE PLLC
Practice address
7007 Backlick CT
Springfield, VA 22151-3937
Phone
(703) 642-5340
NPI assigned
Jun 20, 2016
Last updated
Sep 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Dr. Ami Parikh, DPMNPI 1477790533
Title
President
Phone
(703) 437-5353

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 0103301005 VA Primary

Addresses

Primary practice location

7007 Backlick CT
Springfield, VA 22151-3937

Mailing address

112 Elden St Ste D
Herndon, VA 20170-4832
Phone (703) 437-5353

Other identifiers 2

IdentifierTypeStateIssuer
1477790533OtherINDIVIDUAL NPI
1770828527OtherVANPI - OTHER LOCATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160610000307 VA DME Supplier - Physician - Podiatry 2860630613 Practice locations: Springfield, VA

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Nova Foot and Ankle PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1629428750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ELDEN ST STE D",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704832",
            "telephone_number": "703-437-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 BACKLICK CT",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221513937",
            "telephone_number": "703-642-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA FOOT AND ANKLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "PARIKH",
        "authorized_official_first_name": "AMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-437-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1477790533",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - OTHER LOCATION",
            "identifier": "1770828527",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.