FAIRFAX FOOT AND ANKLE SPECIALISTS, PLLC
NPI 1104305754
Podiatrist in Fairfax, VA
About Fairfax Foot And Ankle Specialists, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAIRFAX FOOT AND ANKLE SPECIALISTS, PLLC (NPI 1104305754) is a healthcare organization registered as a podiatrist in Fairfax, Virginia and active in the NPI registry since August 2018. The organization lists Kyle Scholnick, Podiatrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fairfax Foot And Ankle Specialists, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Fairfax Foot And Ankle Specialists, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Fairfax Foot And Ankle Specialists, PLLC's NPI number?
The NPI number for Fairfax Foot And Ankle Specialists, PLLC is 1104305754. It was assigned to this organization in the NPPES registry on August 13, 2018.
Where is Fairfax Foot And Ankle Specialists, PLLC located?
Fairfax Foot And Ankle Specialists, PLLC is located at 10875 Main St Ste 212, Fairfax, VA 22030. The listed phone number is (203) 494-6958.
What is Fairfax Foot And Ankle Specialists, PLLC's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Fairfax Foot And Ankle Specialists, PLLC enrolled in Medicare?
Yes. Fairfax Foot And Ankle Specialists, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fairfax Foot And Ankle Specialists, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Fairfax Foot And Ankle Specialists, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Fairfax Foot And Ankle Specialists, PLLC was last updated on August 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Fairfax Foot And Ankle Specialists, Pllc · NPI 1104305754
Podiatrist organization in Fairfax, Virginia. Organization record, active in the CMS NPPES registry since August 13, 2018.
## Identity
- **NPI:** 1104305754 (Entity type: Organization)
- **Enumerated:** August 13, 2018
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** Kyle Scholnick, PODIATRIST
## Practice location
- **Address:** 10875 MAIN ST STE 212, Fairfax, VA 22030-4732
- **Phone:** (203) 494-6958
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 13, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1104305754) · Data from the CMS NPPES public registry.