Individual provider Active NPI

Shaun Charles Hafner, DPM

  • Foot & Ankle Surgery Podiatrist
  • Manassas, VA
National Provider Identifier
1780852319
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103301004 Issued in VA
Practice address
8577 Sudley Rd Ste a
Manassas, VA 20110-3860
Phone
(703) 368-7166
Fax
(866) 453-6775
NPI assigned
Feb 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0103301004 VA Primary

Addresses

Primary practice location

8577 Sudley Rd Ste a
Manassas, VA 20110-3860

Mailing address

8577 Sudley Rd Ste a
Manassas, VA 20110-3860
Phone (703) 368-7166

Other practice location 1

1760 Reston Pkwy Ste 310
Reston, VA 20190-3359
Phone (703) 723-2719

Other identifiers 1

IdentifierTypeStateIssuer
CC5940OtherVARAILROAD MEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090701000202 VA Practitioner - Podiatry 7012068109 Reassigns benefits to 1 organization
I20090824000270 DC Practitioner - Podiatry 7012068109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Specialists of the Mid-Atlantic LLCGroup PAC ID 6305017633, 157 clinicians

Practice addresses (Care Compare)

1760 Reston Pkwy
Suite 310
Reston, VA 20190-3359
Phone (703) 723-2719

66 Pkwy LN
Suite 102
Fishersville, VA 22939-2385
Phone (540) 949-5150

8577 Sudley Rd
Suite a
Manassas, VA 20110-3860
Phone (703) 368-7166

Merit-based Incentive Payment System (MIPS)

Final score
88.95 of 100Reported as group
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue38
Removal of skin lesions82
Removal of nail tissue221
Removal or shaving of skin growth148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0103301004VAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Foot & Ankle Surgery CurrentSince Feb 1, 2022 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Foot & Ankle Surgery CurrentSince Feb 1, 2022 Accepting new patients

Locations

10901 Connecticut Ave
Ste 200
Kensington, MD 20895
Phone (301) 949-2000

66 Parkway Ln
Ste 102
Fishersville, VA 22939
Phone (540) 949-5150

211 Gibson St NW
Ste 101
Leesburg, VA 20176
Phone (703) 777-2101

8577 Sudley Rd
Ste A
Manassas, VA 20110
Phone (703) 368-7166

11737 Bowman Green Dr
Reston, VA 20190
Phone (703) 437-6333

1760 Reston Pkwy
Ste 310
Reston, VA 20190
Phone (703) 471-4600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1780852319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8577 SUDLEY RD STE A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201103860",
            "telephone_number": "703-368-7166",
            "fax_number": "866-453-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8577 SUDLEY RD STE A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201103860",
            "telephone_number": "703-368-7166",
            "fax_number": "866-453-6775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1760 Reston Pkwy Ste 310",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201903359",
            "country_code": "US",
            "telephone_number": "703-723-2719",
            "fax_number": "866-453-6775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAFNER",
        "first_name": "SHAUN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-17",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CC5940",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.