1. Home
  2. Directory
  3. Virginia
  4. Woodbridge
  5. Podiatrist
  6. NPI Profile

POTOMAC PODIATRY PLLC
NPI 1184731549
Podiatrist - Foot & Ankle Surgery in Woodbridge, VA

Active since August 23, 2006
14010 SMOKETOWN RD STE 103, WOODBRIDGE, VA 22192(703) 583-5959(703) 583-5995 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 19, 2022, May 24, 2021 (2 updates tracked since 2021).

About Potomac Podiatry Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POTOMAC PODIATRY PLLC (NPI 1184731549) is a healthcare organization registered as a foot & ankle surgery in Woodbridge, Virginia and active in the NPI registry since August 2006. The organization maintains 4 additional practice locations and lists Vincent Joseph Bonini, President, as its authorized official.

NPPES Registry Identity

NPI1184731549
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePOTOMAC PODIATRY PLLC
Location Address14010 SMOKETOWN RD STE 103Woodbridge, VA 22192-4723
Mailing Address14010 Smoketown Rd Ste 103Woodbridge, VA 22192-4723 · (703) 583-5959 · Fax (703) 583-5995
Phone(703) 583-5959
Fax(703) 583-5995
Organization SubpartNo
Authorized OfficialVincent Joseph BoniniPresident · (703) 583-5959
Enumeration DateAugust 23, 2006
Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1184731549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in VA · 0103000852
14010 SMOKETOWN RD STE 103, Woodbridge, VA 22192
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11657 Crofton Blvd Ste 201Crofton, MD 21114-1348 · Phone (410) 721-4505 · Fax (410) 721-2394
Location 246440 Benedict Dr Ste 209Sterling, VA 20164-6602 · Phone (703) 583-5959 · Fax (703) 583-5995
Location 34475 Regency Pl Ste 204White Plains, MD 20695-3074 · Phone (301) 645-1406 · Fax (301) 645-0997
Location 443 Old Solomons Island Rd Ste 102Annapolis, MD 21401-3851 · Phone (410) 263-3100 · Fax (410) 263-7380

Other Identifiers 2

Medicaid3001524257VA
Medicaid8890421MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Potomac Podiatry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Potomac Podiatry PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (12)

Vincent Bonini, DPM
Podiatry
NPI 1790892131
14010 SMOKETOWN RD STE 103
Woodbridge, VA 22192
(703) 583-5959
✔ PECOS✔ Accepts MedicareSame address
Jared Melman, DPM
Podiatry
NPI 1922627025
14010 SMOKETOWN RD STE 103
Woodbridge, VA 22192
(703) 583-5959
✔ PECOS✔ Accepts MedicareSame address
Robert Toomey, DPM
Podiatry
NPI 1598056095
14010 SMOKETOWN RD STE 103
Woodbridge, VA 22192
(703) 583-5959
✔ PECOS✔ Accepts MedicareSame address
Peter Brieloff, DPM
Podiatry
NPI 1134122138
14010 SMOKETOWN RD STE 103
Woodbridge, VA 22192
(703) 583-5959
✔ PECOS✔ Accepts MedicareSame address
Shruti Patel, DPM
Podiatry
NPI 1992187082
8320 OLD COURTHOUSE RD STE 401
Vienna, VA 22182
(571) 619-8923
✔ PECOS✔ Accepts Medicare19 mi
Alesia Madden, DPM
Podiatry
NPI 1396716254
4475 REGENCY PL SUITE 204
White Plains, MD 20695
(301) 645-1406
✔ PECOS✔ Accepts Medicare20 mi
Mark Dollard, D.P.M.
Podiatry
NPI 1427049766
46440 BENEDICT DR SUITE 111
Sterling, VA 20164
(703) 444-9555
✔ PECOS27 mi
Gregory Rose
Podiatry
NPI 1295429223
46440 BENEDICT DR STE 209
Sterling, VA 20164
(703) 583-5959
✔ PECOS✔ Accepts Medicare27 mi
Brittany Mayer, DPM
Podiatry
NPI 1801247150
1657 CROFTON BLVD STE 201
Crofton, MD 21114
(410) 721-4505
✔ PECOS✔ Accepts Medicare42 mi
Nicholas Bruning, DPM
Podiatry
NPI 1407353998
43 OLD SOLOMONS ISLAND RD STE 102
Annapolis, MD 21401
(410) 263-3100
✔ PECOS✔ Accepts Medicare48 mi
Tobias Glister, D.P.M.
Podiatry
NPI 1932214566
43 OLD SOLOMONS ISLAND RD STE 102
Annapolis, MD 21401
(410) 263-3100
✔ PECOS✔ Accepts Medicare48 mi
Nnaemeka Uzomah, DPM
Podiatry
NPI 1770149676
141 THOMAS JOHNSON DR STE 170
Frederick, MD 21702
(301) 668-9707
✔ PECOS✔ Accepts Medicare56 mi

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 Potomac Podiatry PLLC's NPI number?

The NPI number for Potomac Podiatry PLLC is 1184731549. It was assigned to this organization in the NPPES registry on August 23, 2006.

Where is Potomac Podiatry PLLC located?

Potomac Podiatry PLLC is located at 14010 Smoketown Rd Ste 103, Woodbridge, VA 22192. The listed phone number is (703) 583-5959.

What is Potomac Podiatry PLLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Potomac Podiatry PLLC enrolled in Medicare?

Yes. Potomac Podiatry PLLC is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Potomac Podiatry PLLC was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.