FAIRFAX FOOT AND ANKLE CENTER, P.C.
NPI 1750452694
Podiatrist in Fairfax, VA

Active since November 13, 2006
10721 MAIN ST, SUITE 103, FAIRFAX, VA 22030(703) 273-3622(703) 273-0313 Get Directions Write a Review

NPPES record last updated: February 29, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fairfax Foot And Ankle Center, P.c. NPPES

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

FAIRFAX FOOT AND ANKLE CENTER, P.C. (NPI 1750452694) is a healthcare organization registered as a podiatrist in Fairfax, Virginia and active in the NPI registry since November 2006. The organization lists Raymond J Olkin, President, as its authorized official.

NPPES Registry Identity

NPI1750452694
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameFAIRFAX FOOT AND ANKLE CENTER, P.C.
Location Address10721 MAIN ST, SUITE 103Fairfax, VA 22030-6914
Mailing Address10721 Main St, Suite 103Fairfax, VA 22030-6914 · (703) 273-3622 · Fax (703) 273-0313
Fax(703) 273-0313
Organization SubpartNo
Authorized OfficialRaymond J OlkinPresident · (703) 273-3622
Enumeration DateNovember 13, 2006
Last NPPES UpdateFebruary 29, 2008
✔ NPI 1750452694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in VA · 0103000250
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
10721 MAIN ST, Fairfax, VA 22030

Other Identifiers 12

Other346199PPONcppo
Other51277Alliance
Other207996VA · Anthem Bc Bs
Other4313936Aetna Non Hmo Plans
Other8665Carefirst Bcbs
Other0604177Cigna Insurance
Medicare UPINT30913VA
Medicare NSC0538770001VA
Medicare PING01788VA
Other51277Op-choice, Mdipa
Other2153713Aetna Hmo Plans
Medicaid009303791VA

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fairfax Foot And Ankle Center, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 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.

StateEnrollment IDDue date
StateDistrict of ColumbiaEnrollment IDO20041229000813Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

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

Clinicians, nearest first (2)

Podiatry
NPI 1386641959
10721 MAIN ST STE 103, FAIRFAX MEDICAL CENTER
Fairfax, VA 22030
(703) 273-3622
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1073655643
10721 MAIN ST SUITE 103
Fairfax, VA 22030
(703) 273-3622
✔ 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 Fairfax Foot And Ankle Center, P.C.'s NPI number?

The NPI number for Fairfax Foot And Ankle Center, P.C. is 1750452694. It was assigned to this organization in the NPPES registry on November 13, 2006.

Where is Fairfax Foot And Ankle Center, P.C. located?

Fairfax Foot And Ankle Center, P.C. is located at 10721 Main St Suite 103, Fairfax, VA 22030. The listed phone number is (703) 273-3622.

What is Fairfax Foot And Ankle Center, P.C.'s specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Fairfax Foot And Ankle Center, P.C. enrolled in Medicare?

Yes. Fairfax Foot And Ankle Center, P.C. is registered in the Medicare PECOS enrollment system.

When is Fairfax Foot And Ankle Center, P.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (District of Columbia, Clinic/Group Practice) is due for revalidation by March 31, 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 Fairfax Foot And Ankle Center, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Fairfax Foot And Ankle Center, P.C.. 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 Fairfax Foot And Ankle Center, P.C. was last updated on February 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.