Provider Demographics
NPI:1215081989
Name:POMPILI, STEVEN J (DPM)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:J
Last Name:POMPILI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 VARNUM ST NE STE 209
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-2153
Mailing Address - Country:US
Mailing Address - Phone:202-529-7676
Mailing Address - Fax:202-331-3293
Practice Address - Street 1:1140 VARNUM ST NE STE 209
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-2153
Practice Address - Country:US
Practice Address - Phone:202-529-7676
Practice Address - Fax:202-331-3293
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPO466213EP1101X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC031427400Medicaid
DC140528Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER