Marissa Icardi, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0103301347 Issued in VA

Practice address

5311 Patterson Ave
Richmond, VA 23226-2041

Phone

(804) 500-1400

NPI assigned

Jun 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Foot Center Inc

  • Podiatrist
  • Richmond, VA
  • NPI 1336270735

  Foot & Ankle Surgery

  Medicare reassignment NPD
• Best Foot Forward Consulting, LLC

  dba Best Foot Forward

  • Podiatrist
  • Richmond, VA
  • NPI 1083065189
  NPD (past)

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1831759190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262041",
            "telephone_number": "804-500-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262041",
            "telephone_number": "804-500-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICARDI",
        "first_name": "MARISSA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jada Monique Ibekwe
• Iman Mohamoud Ibrahim, MD
• Mary Ibrahim, DPT
• Minatallah Mutasim Ibrahim, DDS
• Ic Hope
• Icare Therapy VA LLC
• Thomas Carroll Iden, MD
• Funmilola Idowu
• Michael O Idowu, M.D.
• Ids Group LLC

• Foot & Ankle Surgery Podiatrist in Richmond, VA
• Providers in Richmond, VA by specialty
• Foot & Ankle Surgery Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.