Capital Podiatry Associates PC

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

Legal business name

CAPITAL PODIATRY ASSOCIATES PC

Doing business as

Leland T Gilimore

Practice address

8101 Hinson Farm Rd Ste 301
Alexandria, VA 22306

Phone

(703) 560-3773

Fax

(703) 799-0050

NPI assigned

Oct 10, 2007

Last updated

Jan 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leland T Gilmore, DPMNPI 1235135815

Title

Physician

Phone

(703) 560-3773

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Leland T Gilimore Doing business as

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Enrollment records 2

Locations

Practitioners 2

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.

• Leland T Gilmore, DPM

  • Podiatrist
  • Alexandria, VA
  • NPI 1235135815

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Shalin Shreyas Panchigar, DPM

  • Foot & Ankle Surgery Podiatrist
  • Alexandria, VA
  • NPI 1851912695

  DC, Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1699963157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD STE 301",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063405",
            "telephone_number": "703-560-3773",
            "fax_number": "703-799-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD STE 301",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22306",
            "telephone_number": "703-560-3773",
            "fax_number": "703-799-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8550 Lee Hwy",
            "address_2": "Suite 750",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220311520",
            "country_code": "US",
            "telephone_number": "703-560-3773",
            "fax_number": "703-573-5361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8550 Lee Hwy",
            "address_2": "Suite 750",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220311520",
            "country_code": "US",
            "telephone_number": "703-560-3773",
            "fax_number": "703-573-5361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAPITAL PODIATRY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "LELAND",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "703-560-3773",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010837200",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI/ L.GILMORE",
            "identifier": "1235135815",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009302867",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "290062",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480008618",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST/ BCBS",
            "identifier": "A729  0001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "T95949",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leland T Gilimore",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Leland T Gilimore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Podiatric Medicine Podiatrist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Primary Podiatric Medicine Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; 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.