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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: August 02, 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
Phone(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
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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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NISHANI KURUPPU DPM
Podiatrist (Foot & Ankle Surgery)
12070 OLD LINE CTR STE 110
WALDORF, MD 20602
Charles County (301) 843-9581

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.

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 8 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.