MANASSAS FOOT CLINIC PLLC
NPI 1184050650
Podiatrist - Foot & Ankle Surgery in Manassas, VA
About Manassas Foot Clinic Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANASSAS FOOT CLINIC PLLC (NPI 1184050650) is a healthcare organization registered as a foot & ankle surgery in Manassas, Virginia and active in the NPI registry since September 2013. The organization lists Ricardo M Bennett, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Manassas Foot Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Manassas Foot Clinic PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 Manassas Foot Clinic PLLC's NPI number?
The NPI number for Manassas Foot Clinic PLLC is 1184050650. It was assigned to this organization in the NPPES registry on September 17, 2013.
Where is Manassas Foot Clinic PLLC located?
Manassas Foot Clinic PLLC is located at 8704 Rolling Rd, Manassas, VA 20110. The listed phone number is (703) 361-3132.
What is Manassas Foot Clinic PLLC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Manassas Foot Clinic PLLC enrolled in Medicare?
Yes. Manassas Foot Clinic PLLC is registered in the Medicare PECOS enrollment system.
When is Manassas Foot Clinic PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Virginia, Physician - Podiatry) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Manassas Foot Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Manassas Foot Clinic 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. The largest specialties are Podiatry (3) and Nurse Practitioner (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Manassas Foot Clinic PLLC accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 17 other insurers list Manassas Foot Clinic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Manassas Foot Clinic PLLC was last updated on September 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Manassas Foot Clinic Pllc · NPI 1184050650
Foot & Ankle Surgery organization in Manassas, Virginia. Organization record, active in the CMS NPPES registry since September 17, 2013.
## Identity
- **NPI:** 1184050650 (Entity type: Organization)
- **Enumerated:** September 17, 2013
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Ricardo Bennett, PRESIDENT
## Practice location
- **Address:** 8704 ROLLING RD, Manassas, VA 20110-4253
- **Phone:** (703) 361-3132 · **Fax:** (703) 368-0291
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (DME, Virginia, Physician - Podiatry) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Podiatry (3), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 17, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1184050650) · Data from the CMS NPPES public registry.