Individual provider Active NPI

Sammar Abueldoleh, DPM

  • Foot & Ankle Surgery Podiatrist
  • Alexandria, VA
National Provider Identifier
1659945079
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103301455 Issued in VA
Practice address
4875 Eisenhower Ave Ste 230
Alexandria, VA 22304-4844
Phone
(703) 832-9013
Fax
(877) 843-1707
NPI assigned
May 19, 2021
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0103301455 VA Primary

Addresses

Primary practice location

4875 Eisenhower Ave Ste 230
Alexandria, VA 22304-4844

Mailing address

4875 Eisenhower Ave Ste 230
Alexandria, VA 22304-4844
Phone (703) 832-9013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20250830000274 DC Practitioner - Podiatry 3072983691 Reassigns benefits to 2 organizations
I20251016001086 VA Practitioner - Podiatry 3072983691 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
District Foot and AnkleGroup PAC ID 5991034225, 2 clinicians

Practice addresses (Care Compare)

224 D Cornwall St NW
Suite 203
Leesburg, VA 20176-2700
Phone (703) 832-9013

4875 Eisenhower Ave
Suite 230
Alexandria, VA 22304-4833
Phone (703) 832-9013

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue92
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0103301455VAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
District Foot and Ankle Foot & Ankle Surgery CurrentSince Sep 2, 2025 Accepting new patients

Locations

4875 Eisenhower Ave
Ste 230
Alexandria, VA 22304
Phone (703) 832-9013

224D Cornwall St NW
Ste 203
Leesburg, VA 20176
Phone (703) 777-5830

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 4

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": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1659945079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 EISENHOWER AVE STE 230",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223044844",
            "telephone_number": "703-832-9013",
            "fax_number": "877-843-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 EISENHOWER AVE STE 230",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223044844",
            "telephone_number": "703-832-9013",
            "fax_number": "877-843-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUELDOLEH",
        "first_name": "SAMMAR",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.