Organization Active NPI

Capitol Foot & Ankle, LLC

  • Foot & Ankle Surgery Podiatrist
  • Alexandria, VA
National Provider Identifier
1710005491
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103300905 Issued in VA
Legal business name
CAPITOL FOOT & ANKLE, LLC
Practice address
5256 Dawes Ave
Alexandria, VA 22311-1404
Phone
(703) 578-3899
Fax
(703) 578-8950
NPI assigned
Mar 27, 2007
Last updated
Dec 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Dr. Melissa Ordan Smith, D.P.M.NPI 1467470849
Title
Physician
Phone
(703) 578-3899

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 0103300905 VA Primary

Addresses

Primary practice location

5256 Dawes Ave
Alexandria, VA 22311-1404

Mailing address

5256 Dawes Ave.
Alexandria, VA 22311
Phone (703) 578-3899

Other identifiers 3

IdentifierTypeStateIssuer
2022OtherDCCAREFIRST BCBS/NCA
3113966OtherVAMAMSI
1710005491MedicaidVA

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070922000231 DC Part B Supplier - Clinic/Group Practice 1658465539 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, VA
O20100930087217 VA DME Supplier - Physician - Podiatry 1658465539 Practice locations: Alexandria, VA

National Provider Directory

National Provider Directory

Locations

5242 Dawes Ave
Alexandria, VA 22311
Phone (703) 578-3899

Practitioners & affiliated clinicians

Practitioners 1

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1710005491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5256 DAWES AVE.",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22311",
            "telephone_number": "703-578-3899",
            "fax_number": "703-578-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5256 DAWES AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111404",
            "telephone_number": "703-578-3899",
            "fax_number": "703-578-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL FOOT & ANKLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ORDAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "703-578-3899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103300905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS/NCA",
            "identifier": "2022",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "3113966",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710005491",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.