Individual provider Active NPI

Richard Neil Footer, MD

  • Specialist
  • Bethesda, MD
National Provider Identifier
1689780108
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0027550 Issued in MD
Practice address
4808 Moorland LN
Suite 103
Bethesda, MD 20814-6110
Phone
(301) 215-7778
Fax
(301) 215-4561
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0027550 MD Primary
Specialist 174400000X MD14379 DC

Addresses

Primary practice location

4808 Moorland LN
Suite 103
Bethesda, MD 20814-6110

Mailing address

8017 Summer Mill CT
Bethesda, MD 20817-2962
Phone (301) 320-6303

Other identifiers 2

IdentifierTypeStateIssuer
428361900MedicaidMD
482910OtherMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100601000365 DC Practitioner - Obstetrics/Gynecology 2264561232 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
George Washington University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4808 Moorland LN
Suite 103
Bethesda, MD 20814-6131
Phone (301) 215-7778

Hospital & facility affiliations

  • Sibley Memorial Hospital Hospital, Washington, DC, CCN 090005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD14379DCMDSpecialist
D0027550MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Services of Holy Cross CurrentSince Jan 6, 2025 Accepting new patients
Footer Obstetrics & Gynecology Group, LLC CurrentSince Aug 6, 2017 Accepting new patients
Professional Services of Holy Cross CurrentSince Jan 6, 2025 Accepting new patients
Holy Cross Health, Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4808 Moorland Ln
Ste 103
Bethesda, MD 20814
Phone (301) 215-7778

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1689780108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8017 SUMMER MILL CT",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208172962",
            "telephone_number": "301-320-6303",
            "fax_number": "301-215-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4808 MOORLAND LN",
            "address_2": "SUITE 103",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146110",
            "telephone_number": "301-215-7778",
            "fax_number": "301-215-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOOTER",
        "first_name": "RICHARD",
        "middle_name": "NEIL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0027550",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DC",
            "license": "MD14379",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428361900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "482910",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.