Potomac Podiatry PLLC
NPI 1972171411 · Foot & Ankle Surgery Podiatrist · Crofton, MD
Enrolled with Medicare as Dme Supplier - Physician - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Potomac Podiatry PLLC is a Foot & Ankle Surgery Podiatrist organization in Crofton, MD (NPI 1972171411).
Provider details
- NPI number
- 1972171411
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Parent organization
- Potomac Podiatry PLLC
- Organization subpart
- Yes
- Authorized official
- Vincent Bonini, Owner(301) 200-3040
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
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Other names (DBA / former)
- Other name
- Crofton Podiatry
- Other name
- Crofton Podiatry
Additional practice locations (1)
- 2411 Crofton Ln Ste 25Crofton, MD 21114-1304Phone: (410) 721-4505
Registry dates
- Enumerated
- 2021-06-11
- Last updated
- 2021-11-05
- Certified
- 2021-11-05
Frequently asked questions
- What is Potomac Podiatry PLLC's NPI number?
- Potomac Podiatry PLLC's National Provider Identifier (NPI) is 1972171411, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Potomac Podiatry PLLC?
- Potomac Podiatry PLLC is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Potomac Podiatry PLLC located?
- Potomac Podiatry PLLC's practice location on file with NPPES is 1657 Crofton Blvd Ste 201, Crofton, MD 21114-1352.
- What is Potomac Podiatry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Potomac Podiatry PLLC is (410) 721-4505.
- Does Potomac Podiatry PLLC accept Medicare?
- Potomac Podiatry 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 Potomac Podiatry PLLC?
- The authorized official listed on Potomac Podiatry PLLC's NPPES record is Vincent Bonini, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Potomac Podiatry PLLC's NPI active?
- Yes — Potomac Podiatry PLLC's NPI (1972171411) is active in the NPPES registry as of the last update on 2021-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.