Richard Derner, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0103000824 Issued in VA

Practice address

1721 Financial Loop
Lake Ridge, VA 22192-2460

Phone

(703) 491-9500

NPI assigned

Mar 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1987

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

Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
• Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113

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

Medicare enrollment (NPD)

Enrolled

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.

• Inova Health Care Services

  • Internal Medicine Physician
  • Falls Church, VA
  • NPI 1952320061

  DC

  Medicare reassignment Care Compare group NPD
• Foot and Ankle Specialists of the Mid-Atlantic, LLC

  • Podiatrist
  • Raleigh, NC
  • NPI 1073804712

  DC, Foot & Ankle Surgery, VA

  Medicare reassignment Care Compare group NPD
• Inova Health Care Services

  dba Inova Urgent Care Center

  • Urgent Care Clinic/Center
  • Vienna, VA
  • NPI 1275886418
  NPD
• Inova Health Care Services

  dba Inova Juniper Program

  • Multi-Specialty Clinic/Center
  • Fairfax, VA
  • NPI 1669511051
  NPD
• Inova Health Care Services

  dba Inova Blood Donor Services

  • Medical Technologist
  • Sterling, VA
  • NPI 1699655589
  NPD
• Foot and Ankle Specialists of the Mid-Atlantic, LLC

  • Podiatrist
  • Concord, NC
  • NPI 1255213997

  Foot & Ankle Surgery

  NPD
• Premier Podiatry of Virginia LLC

  • Podiatrist
  • Owings Mills, MD
  • NPI 1356430078
  NPD (past)

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

• Inova Health Care Services

  dba Inova Fairfax Hospital

  • Rehabilitation Hospital Unit
  • Falls Church, VA
  • NPI 1588795462
  Care Compare affiliation
• Inova Health Care Services

  dba Inova Fairfax Hospital

  • General Acute Care Hospital
  • Falls Church, VA
  • NPI 1831220714
  Care Compare affiliation
• Potomac Hospital Corporation of Prince William

  dba Sentara Northern Virginia Medical Center

  • General Acute Care Hospital
  • Woodbridge, VA
  • NPI 1548366404
  Care Compare affiliation

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1932177607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 FINANCIAL LOOP",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221922460",
            "telephone_number": "703-491-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 FINANCIAL LOOP",
            "city": "LAKE RIDGE",
            "state": "VA",
            "postal_code": "221922460",
            "telephone_number": "703-491-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERNER",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103000824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9301372",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivonne Cruz, FNP-C
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• Ardeshir Davoodi, M.D.
• Dental Family Practice
• DJFG LLC (The Language Launchpad)
• Dominion Cardiovascular Associates, P.C.
• Tara Esmaeili
• Lauren Elizabeth Farley, DPT
• Sydney Farley, PT, DPT

• Foot & Ankle Surgery Podiatrist in Lake Ridge, VA
• Providers in Lake Ridge, 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 Jun 13, 2024; 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.

Verify at the official NPI Registry.