DR. STANLEY IDICULLA DPM NPI 1043274368

NPI Information

  • NPI: 1043274368
  • Provider Name: DR. STANLEY IDICULLA, DPM
  • Classification: Podiatrist - 213ES0131X
  • Specialization: Foot Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 112 ELDEN ST
    SUITE D
    HERNDON, VA
    ZIP 20170
  • Phone: (703) 437-5353

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NPI Details

DR. Stanley Idiculla, DPM is a foot surgery podiatrist in Herndon, VA with 21 years of experience. DR. Stanley Idiculla, DPM NPI is 1043274368. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2004

The provider's business location address is:

112 ELDEN ST
SUITE D
HERNDON, VA
ZIP 20170-874
Phone: (703) 437-5353

The NPI 1043274368 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Removal of noncancer thickened skin growth, more than 4 growths (HCPCS:11057)
  • Cast supplies, short leg cast, adult (11 years +), fiberglass (HCPCS:Q4038)
  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)

The enumeration date for this NPI number is 4/13/2006 and was last updated on 12/18/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0131XPodiatristFoot SurgeryXXXXVIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1144284Y74MEDICARE PINDISTRICT OF COLUMBIA
2VAA101437MEDICARE PINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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