Organization Active NPI

Podiatry Center-Annandale PC

  • Foot & Ankle Surgery Podiatrist
  • Annandale, VA
National Provider Identifier
1699876615
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103300978 Issued in VA
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Authorized official

Name
Dr. Atoosa Kashani, D.P.MNPI 1437271889
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
212945OtherMDIPA/OPT CHOICE/MAMSI
930431MedicaidVA
060211OtherMABLUE CROSS OF MASS.
4092107OtherAETNA
290568OtherANTHEM BLUE CROSS
480019809OtherMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080918000427 DC Part B Supplier - Clinic/Group Practice 5092882910 Receives reassigned benefits from 2 practitioners
Practice locations: Annandale, VA
O20100930056730 VA DME Supplier - Physician - Podiatry 5092882910 Practice locations: Annandale, VA

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.