Active NPI
Podiatry Center-Annandale PC
- Foot & Ankle Surgery Podiatrist
- Annandale, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0103300978
- Legal business name
- PODIATRY CENTER-ANNANDALE PC
- Practice address
- 7540 Little River Tpke
Suite I
Annandale, VA 22003-2839 - Phone
- (703) 750-1124
- Fax
- (703) 750-2043
- NPI assigned
- Sep 25, 2006
- Last updated
- Jun 17, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Atoosa Kashani, D.P.M
- Title
- Podiatrist
- Phone
- (703) 750-1124
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0103300978 | VA | Primary |
Addresses
Primary practice location
7540 Little River Tpke
Suite I
Annandale, VA 22003-2839
Mailing address
7540 Little River Tpke
Suite I
Annandale, VA 22003-2839
Phone (703) 750-1124
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212945 | Other | MDIPA/OPT CHOICE/MAMSI | |
| 930431 | Medicaid | VA | |
| 060211 | Other | MA | BLUE CROSS OF MASS. |
| 4092107 | Other | AETNA | |
| 290568 | Other | ANTHEM BLUE CROSS | |
| 480019809 | Other | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
7540 Little River Tpke
Annandale, VA 22003
Phone (703) 256-2600
7540 Little River Tpke
Ste I
Annandale, VA 22003
Phone (703) 750-1124
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.
-
- Foot & Ankle Surgery Podiatrist
- Burke, VA
- NPI 1255391231
-
- Foot & Ankle Surgery Podiatrist
- Vienna, VA
- NPI 1235193236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371427200000",
"number": "1699876615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7540 LITTLE RIVER TPKE",
"address_2": "SUITE I",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220032839",
"telephone_number": "703-750-1124",
"fax_number": "703-750-2043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7540 LITTLE RIVER TPKE",
"address_2": "SUITE I",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220032839",
"telephone_number": "703-750-1124",
"fax_number": "703-750-2043"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PODIATRY CENTER-ANNANDALE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2013-06-17",
"status": "A",
"authorized_official_last_name": "KASHANI",
"authorized_official_first_name": "ATOOSA",
"authorized_official_title_or_position": "PODIATRIST",
"authorized_official_telephone_number": "703-750-1124",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "VA",
"license": "0103300978",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDIPA/OPT CHOICE/MAMSI",
"identifier": "212945",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "930431",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MASS.",
"identifier": "060211",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4092107",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "290568",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "480019809",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annandale, VA
- Samantha Tallia Pierce, PA-C
- Rochelle Pilberg, SLP
- Richard Piorkowski, D.C.
- Elizabeth Piren, LPC
- Melissa Plummer, M.A. CCC-SLP
- Donald M. Poretz, M.D.
- Positively Chiropractic and Dynamic Kinesiology (Positively Chiropractic)
- Faven-Jewel Post, LMSW
- Posterity Men's Health, P.C.
- Potomac Pain and Wellness Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.