Active NPI
Martin Steven Stark, DPM
- Podiatrist
- Manassas, VA
National Provider Identifier
1720050446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0103000264
- Practice address
- 8577 Sudley Rd
Manassas, VA 20110-3860 - Phone
- (703) 368-7166
- Fax
- (703) 368-5103
- NPI assigned
- Feb 6, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0103000264 | VA | Primary |
Addresses
Primary practice location
8577 Sudley Rd
Manassas, VA 20110-3860
Mailing address
8577 Sudley Rd
Manassas, VA 20110-3860
Phone (703) 368-7166
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9331492 | Medicaid | VA | |
| A8890001 | Other | CAREFIRST BCBS | |
| 090273 | Other | ANTHEM BCBS | |
| 4085685 | Other | AETNA | |
| 0442570002 | Other | DMERC | |
| 32614 | Other | UNITED HEALTH CARE MAMSI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0103000264 | VA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot and Ankle Specialists of the Mid-Atlantic, LLC | Podiatrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Manassas Foot and Ankle Center
- Podiatrist
- Manassas, VA
- NPI 1962482810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1720050446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8577 SUDLEY RD",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201103860",
"telephone_number": "703-368-7166",
"fax_number": "703-368-5103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8577 SUDLEY RD",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201103860",
"telephone_number": "703-368-7166",
"fax_number": "703-368-5103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARK",
"first_name": "MARTIN",
"middle_name": "STEVEN",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "VA",
"license": "0103000264",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9331492",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "A8890001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "090273",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4085685",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "0442570002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE MAMSI",
"identifier": "32614",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.