Shady Grove Podiatry, LLC
NPI 1518083443 · Foot & Ankle Surgery Podiatrist · Gaithersburg, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shady Grove Podiatry, LLC is a Foot & Ankle Surgery Podiatrist organization in Gaithersburg, MD (NPI 1518083443).
Provider details
- NPI number
- 1518083443
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Ronald Footer, Managing Partner(301) 948-2995
- License
- 00360 (MD)
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
19 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
- 2007-03-22
- Last updated
- 2011-09-13
Frequently asked questions
- What is Shady Grove Podiatry, LLC's NPI number?
- Shady Grove Podiatry, LLC's National Provider Identifier (NPI) is 1518083443, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shady Grove Podiatry, LLC?
- Shady Grove Podiatry, LLC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Shady Grove Podiatry, LLC located?
- Shady Grove Podiatry, LLC's practice location on file with NPPES is 16220 S Frederick Ave, Gaithersburg, MD 20877-4039.
- What is Shady Grove Podiatry, LLC's phone number?
- The practice phone number listed in the NPPES registry for Shady Grove Podiatry, LLC is (301) 948-2995.
- Does Shady Grove Podiatry, LLC accept Medicare?
- Shady Grove Podiatry, LLC 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 Shady Grove Podiatry, LLC?
- The authorized official listed on Shady Grove Podiatry, LLC's NPPES record is Ronald Footer, Managing Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shady Grove Podiatry, LLC's NPI active?
- Yes — Shady Grove Podiatry, LLC's NPI (1518083443) is active in the NPPES registry as of the last update on 2011-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.