NPIMap

Individual provider Active NPI

Franklin Randall Polun, DPM

  • Foot & Ankle Surgery Podiatrist
  • Potomac, MD
National Provider Identifier
1881697886
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00941 Issued in MD
Practice address
12400 Park Potomac Ave # R2
Potomac, MD 20854-6973
Phone
(301) 983-8202
Fax
(301) 299-3985
NPI assigned
May 23, 2005
Reactivated
Mar 27, 2006
Last updated
Nov 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 00941 MD Primary
Podiatrist 213E00000X 00941 MD

Addresses

Primary practice location

12400 Park Potomac Ave # R2
Potomac, MD 20854-6973

Mailing address

12400 Park Potomac Ave # R2
Potomac, MD 20854-6973
Phone (301) 983-8202

Other practice location 1

5215 Loughboro Rd NW Ste 520
Washington, DC 20016-2628
Phone (202) 966-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100929000937 DC Practitioner - Podiatry 2264417401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

12400 Park Potomac Ave
Suite R2
Potomac, MD 20854-7024
Phone (301) 983-8202

6410 Rockledge Dr
Bethesda, MD 20817-1844

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue43
Removal of skin lesions55
Removal of nail tissue201
Removal or shaving of skin growth92
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00941MDMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Foot and Ankle Institute PLLC Foot & Ankle Surgery Current Accepting new patients
National Capital Foot & Ankle Center, PC Podiatrist CurrentSince Aug 4, 1986 Accepting new patients
National Capital Foot and Ankle Center Foot & Ankle Surgery Current Accepting new patients
National Capital Foot and Ankle Center Foot & Ankle Surgery CurrentSince Aug 4, 1986 Accepting new patients
National Capital Foot & Ankle Center Foot & Ankle Surgery Current Accepting new patients
Nurse Practitioners and Consultants P C Past Accepting new patients
Polun Family Footcare P C Podiatrist PastSince Jan 1, 1999 Accepting new patients
National Capital Foot & Ankle Center, PC Podiatrist Past Accepting new patients
Premier Podiatry of Virginia LLC Podiatrist PastSince Sep 11, 2003 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
National Capital Foot & Ankle Center Past Accepting new patients

Locations

5215 Loughboro Rd NW
Ste 520
Washington, DC 20016
Phone (202) 362-0355

5225 Wisconsin Ave NW
Ste 200
Washington, DC 20015
Phone (703) 888-8589

5225 Wisconsin Ave NW
Ste 513
Washington, DC 20015
Phone 20236227763

10238 River Rd
Potomac, MD 20854
Phone (301) 983-8202

12400 Park Potomac Ave
Ste R2
Potomac, MD 20854
Phone (301) 983-8202

Interoperability endpoints

  • Direct secure messaging: drfpolun@ncfaac-md.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1881697886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 PARK POTOMAC AVE # R2",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208546973",
            "telephone_number": "301-983-8202",
            "fax_number": "877-810-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 PARK POTOMAC AVE # R2",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208546973",
            "telephone_number": "301-983-8202",
            "fax_number": "301-299-3985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5215 Loughboro Rd NW Ste 520",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200162628",
            "country_code": "US",
            "telephone_number": "202-966-0900",
            "fax_number": "877-810-5148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLUN",
        "first_name": "FRANKLIN",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "00941",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "00941",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

Verify at the official NPI Registry.