Dulles Foot Ankle Institute, PLC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

0103300893 Issued in VA

Legal business name

DULLES FOOT ANKLE INSTITUTE, PLC

Practice address

224A Cornwall St NW
Loudoun Community Health Center
Leesburg, VA 20176-2701

Phone

(703) 443-2120

Fax

(703) 443-2033

NPI assigned

Apr 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mehul Jitendra Shah, DPM

Title

Sole Propiertor

Phone

(703) 443-2000

Specialties & licenses 1

Addresses

Other identifiers 5

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327104000000",
    "number": "1841465291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 616",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201460616",
            "telephone_number": "703-443-2000",
            "fax_number": "703-443-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224A CORNWALL ST NW",
            "address_2": "LOUDOUN COMMUNITY HEALTH CENTER",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762701",
            "telephone_number": "703-443-2120",
            "fax_number": "703-443-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DULLES FOOT ANKLE INSTITUTE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2012-01-21",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MEHUL",
        "authorized_official_middle_name": "JITENDRA",
        "authorized_official_title_or_position": "SOLE PROPIERTOR",
        "authorized_official_telephone_number": "703-443-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "VA",
            "license": "0103300893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "350392",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3854800",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7980784",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2907018",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS",
            "identifier": "J4630001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makayla Dudley, PHARMD, PA-C
• Elizabeth Bronwyn Duffy, MSW, LCSW
• Roopa Malpani Duggal, MD
• Angela Duhaime, PA-C
• Sarbjot Singh Dulai, M.D.
• Dulles Medical Group LLC
• Basima Dunfee
• Kelly Lynn Dunmire, OT
• Edythe Burt Dunn, MA, LPC
• Ava Dunnavant

• Foot Surgery Podiatrist in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Foot Surgery Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.