SOUTHERN MARYLAND FOOT AND ANKLE LLC
NPI 1285809715
Podiatrist - Foot & Ankle Surgery in Waldorf, MD

Active since April 25, 2008
12070 OLD LINE CTR STE 110, WALDORF, MD 20602(301) 843-9581 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 14, 2025, Feb 9, 2023 (2 updates tracked since 2023).

About Southern Maryland Foot And Ankle Llc NPPES

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

SOUTHERN MARYLAND FOOT AND ANKLE LLC (NPI 1285809715), doing business as Southern Maryland Foot And Ankle, is a healthcare organization registered as a foot & ankle surgery in Waldorf, Maryland and active in the NPI registry since April 2008. The organization lists Justin Pointer, Owner, as its authorized official.

NPPES Registry Identity

NPI1285809715
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSOUTHERN MARYLAND FOOT AND ANKLE LLC
Location Address12070 OLD LINE CTR STE 110Waldorf, MD 20602-2503
Mailing Address12070 Old Line Ctr Ste 110Waldorf, MD 20602-2503 · (301) 843-9581
Organization SubpartNo
Authorized OfficialJustin PointerOwner · (301) 843-9581
Enumeration DateApril 25, 2008
Last NPPES UpdateNovember 14, 20252 updates tracked since enumeration
NPPES CertifiedNovember 14, 2025
✔ NPI 1285809715 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
12070 OLD LINE CTR STE 110, Waldorf, MD 20602

Other Names 1

Doing Business AsSouthern Maryland Foot And Ankle

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)

Southern Maryland Foot And Ankle Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Southern Maryland Foot And Ankle LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Podiatry
NPI 1225650781
12070 OLD LINE CTR STE 110
Waldorf, MD 20602
(301) 843-9581
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1659636082
12070 OLD LINE CTR SUITE 110
Waldorf, MD 20602
(301) 843-3899
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1366949885
3300 GALLOWS RD
Falls Church, VA 22042
(608) 512-9705
✔ PECOS✔ Accepts Medicare25 mi
Podiatry
NPI 1013272699
49 OLD SOLOMONS ISLAND RD STE 104
Annapolis, MD 21401
(443) 531-1197
✔ PECOS✔ Accepts Medicare32 mi
Podiatry
NPI 1437387230
200 HOSPITAL DR FL 2
Glen Burnie, MD 21061
(410) 768-5555
✔ PECOS✔ Accepts Medicare39 mi
Podiatry
NPI 1316436561
UPMC MERCY, 1400 LOCUST AVE BUILDING B, ROOM 9520
Pittsburgh, PA 15219
(412) 232-5515
✔ PECOS✔ Accepts Medicare208 mi
Podiatry
NPI 1215914031
1501 TATE BLVD SE SUITE 203
Hickory, NC 28602
(828) 304-0400
✔ PECOS315 mi
Podiatry
NPI 1700284221
1650 COCHRANE CIR
Fort Carson, CO 80913
(719) 526-7000
✔ PECOS✔ Accepts Medicare1,503 mi
Podiatry
NPI 1568084804
6920 MIRAMAR RD STE 106
San Diego, CA 92121
(757) 304-7370
✔ PECOS✔ Accepts Medicare2,279 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 Southern Maryland Foot And Ankle LLC's NPI number?

The NPI number for Southern Maryland Foot And Ankle LLC is 1285809715. It was assigned to this organization in the NPPES registry on April 25, 2008. The provider is doing business as Southern Maryland Foot and Ankle.

Where is Southern Maryland Foot And Ankle LLC located?

Southern Maryland Foot And Ankle LLC is located at 12070 Old Line Ctr Ste 110, Waldorf, MD 20602. The listed phone number is (301) 843-9581.

What is Southern Maryland Foot And Ankle LLC's specialty?

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

Is Southern Maryland Foot And Ankle LLC enrolled in Medicare?

Yes. Southern Maryland Foot And Ankle LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Maryland Foot And Ankle LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Podiatry, reassign their Medicare billing to Southern Maryland Foot And Ankle LLC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern Maryland Foot And Ankle LLC was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.