THE FOOT DOCTOR, PLLC
NPI 1407576283
Podiatrist - Foot & Ankle Surgery in Annandale, VA

Active since August 31, 2022
3301 WOODBURN RD STE 208, ANNANDALE, VA 22003(703) 942-9845 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 9, 2023, Nov 1, 2023, Aug 31, 2022 (3 updates tracked since 2022).

About The Foot Doctor, Pllc NPPES

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

THE FOOT DOCTOR, PLLC (NPI 1407576283) is a healthcare organization registered as a foot & ankle surgery in Annandale, Virginia and active in the NPI registry since August 2022. The organization lists Jennifer Stephanie Jimenez, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1407576283
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameTHE FOOT DOCTOR, PLLC
Location Address3301 WOODBURN RD STE 208Annandale, VA 22003-1200
Mailing Address3301 Woodburn Rd Ste 208Annandale, VA 22003-1200 · (703) 942-9845
Organization SubpartNo
Authorized OfficialJennifer Stephanie JimenezDoctor/owner · (703) 942-9845
Enumeration DateAugust 31, 2022
Last NPPES UpdateNovember 9, 20233 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1407576283 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
3301 WOODBURN RD STE 208, Annandale, VA 22003

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)

The Foot Doctor, 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 The Foot Doctor, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1467011288
3301 WOODBURN RD STE 208
Annandale, VA 22003
(703) 942-9845
✔ PECOS✔ Accepts MedicareSame address

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 The Foot Doctor, PLLC's NPI number?

The NPI number for The Foot Doctor, PLLC is 1407576283. It was assigned to this organization in the NPPES registry on August 31, 2022.

Where is The Foot Doctor, PLLC located?

The Foot Doctor, PLLC is located at 3301 Woodburn Rd Ste 208, Annandale, VA 22003. The listed phone number is (703) 942-9845.

What is The Foot Doctor, PLLC's specialty?

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

Is The Foot Doctor, PLLC enrolled in Medicare?

Yes. The Foot Doctor, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Foot Doctor, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to The Foot Doctor, 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 The Foot Doctor, PLLC was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.