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Manassas Foot Clinic Inc

NPI 1578637633ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Manassas, VA

Podiatrist, Foot & Ankle Surgery in Manassas, Virginia, registered in NPPES in November 2006. The authorized official on file is Ricardo M. Bennett, D.P.M., President.

Overview

NPI1578637633
StatusActive
Entity typeOrganization
NPI issuedNov 20, 2006
Last updated in NPPESDec 18, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Podiatrist, Foot & Ankle Surgery Primary213ES0103X0103001009VA
Podiatrist, Foot Surgery213ES0131X0103000268VA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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