Active NPI
Robert Anthony Breiner, DPM
- Primary Podiatric Medicine Podiatrist
- Annandale, VA
National Provider Identifier
1891763447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 0103000805
- Practice address
- 5105 Backlick Rd
Unit S
Annandale, VA 22003-6005 - Phone
- (703) 941-7770
- Fax
- (703) 941-7771
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 0103000805 | VA | Primary |
| Foot Surgery Podiatrist | 213ES0131X | 0103000805 | VA |
Addresses
Primary practice location
5105 Backlick Rd
Unit S
Annandale, VA 22003-6005
Mailing address
5105 Backlick Rd
Unit S
Annandale, VA 22003-6005
Phone (703) 941-7770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9301615 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5105 Backlick Rd
S
Annandale, VA 22003-6005
5105 Backlick Rd S
Annandale, VA 22003-6005
Phone (703) 941-7770
5105 S Backlick Rd
Annandale, VA 22003-6075
Merit-based Incentive Payment System (MIPS)
- Final score
- 68.83 of 100
- Quality
- 38.33
- Promoting interoperability
- 83
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 6069 |
| Removal or shaving of skin growth | 224 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert a Breiner PC | Primary Podiatric Medicine | Current | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/21432/brand/1/csg/1/fhir/r4
- robert.breiner.2@21432.direct.athenahealth.com
Organizations & group practices 1
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": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281916800000",
"number": "1891763447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5105 BACKLICK RD",
"address_2": "UNIT S",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220036005",
"telephone_number": "703-941-7770",
"fax_number": "703-941-7771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5105 BACKLICK RD",
"address_2": "UNIT S",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220036005",
"telephone_number": "703-941-7770",
"fax_number": "703-941-7771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREINER",
"first_name": "ROBERT",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2010-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "VA",
"license": "0103000805",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "VA",
"license": "0103000805",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9301615",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.