Fairfax Foot and Ankle Specialists, PLLC
NPI 1104305754 · Podiatrist · Fairfax, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fairfax Foot and Ankle Specialists, PLLC is a Podiatrist organization in Fairfax, VA (NPI 1104305754).
Provider details
- NPI number
- 1104305754
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Kyle Scholnick, Podiatrist(203) 494-6958
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-08-13
- Last updated
- 2018-08-13
Frequently asked questions
- What is Fairfax Foot and Ankle Specialists, PLLC's NPI number?
- Fairfax Foot and Ankle Specialists, PLLC's National Provider Identifier (NPI) is 1104305754, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairfax Foot and Ankle Specialists, PLLC?
- Fairfax Foot and Ankle Specialists, PLLC is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Fairfax Foot and Ankle Specialists, PLLC located?
- Fairfax Foot and Ankle Specialists, PLLC's practice location on file with NPPES is 10875 Main St Ste 212, Fairfax, VA 22030-4732.
- What is Fairfax Foot and Ankle Specialists, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Fairfax Foot and Ankle Specialists, PLLC is (203) 494-6958.
- Does Fairfax Foot and Ankle Specialists, PLLC accept Medicare?
- Fairfax Foot and Ankle Specialists, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fairfax Foot and Ankle Specialists, PLLC?
- The authorized official listed on Fairfax Foot and Ankle Specialists, PLLC's NPPES record is Kyle Scholnick, Podiatrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairfax Foot and Ankle Specialists, PLLC's NPI active?
- Yes — Fairfax Foot and Ankle Specialists, PLLC's NPI (1104305754) is active in the NPPES registry as of the last update on 2018-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.