Loudoun Medical Group, PC
NPI 1801408109ActiveOrganization· Podiatrist, Foot & Ankle Surgery· Gainesville, VA
Podiatrist, Foot & Ankle Surgery in Gainesville, Virginia, registered in NPPES in August 2020, part of Loudoun Medical Group, PC. The authorized official on file is Mary Beth Tamasy, Credentialing Manager. Enrolled in Medicare as dme supplier - physician - podiatry.
Overview
| NPI | 1801408109 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Loudoun Medical Group, PC |
| NPI issued | Aug 18, 2020 |
| Last updated in NPPES | Jun 8, 2023 |
| Certified by provider | Jun 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist, Foot & Ankle Surgery Primary | 213ES0103X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Podiatry (VA) |
|---|
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