Active NPI
Nova Foot and Ankle PLLC
- Foot & Ankle Surgery Podiatrist
- Herndon, VA
National Provider Identifier
1770828527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- Legal business name
- NOVA FOOT AND ANKLE PLLC
- Practice address
- 112 Elden St
Suite D
Herndon, VA 20170-4874 - Phone
- (703) 437-5353
- NPI assigned
- Dec 5, 2012
- 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. Ami Parikh Idiculla, DPM
- Title
- Physician
- Phone
- (703) 437-5353
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | Primary |
Addresses
Primary practice location
112 Elden St
Suite D
Herndon, VA 20170-4874
Mailing address
112 Elden St Ste D
Herndon, VA 20170-4832
Phone (703) 437-5353
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7004550001 | Other | PTAN | |
| 1477790533 | Other | INDIVIDUAL NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 3
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Nova Foot and Ankle PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Foot & Ankle Surgery Podiatrist
- Springfield, VA
- NPI 1629428750
Locations
112 Elden St
Ste D
Herndon, VA 20170
Phone (703) 437-5353
112 Elden St
Herndon, VA 20170
Interoperability endpoints
- https://api.platform.athenahealth.com/8239/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760400000000",
"number": "1770828527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 ELDEN ST STE D",
"city": "HERNDON",
"state": "VA",
"postal_code": "201704832",
"telephone_number": "703-437-5353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 ELDEN ST",
"address_2": "SUITE D",
"city": "HERNDON",
"state": "VA",
"postal_code": "201704874",
"telephone_number": "703-437-5353"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVA FOOT AND ANKLE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-05",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A",
"authorized_official_last_name": "IDICULLA",
"authorized_official_first_name": "AMI",
"authorized_official_middle_name": "PARIKH",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "703-437-5353",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "7004550001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1477790533",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.