Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alicia Marie Mooty

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1891282489

Alicia Marie Mooty is a Podiatry in Richmond, Virginia. Graduated from Temple University School of Podiatric Medicine in 2018, 8 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group and accepts Medicare assignment. Licensed in Pennsylvania and Virginia.

Years since qualifying
8
Trained at
Temple University School of Podiatric Medicine
Licensed in
PA, VA
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

1465 Johnston Willis Dr
Richmond, VA 23235-2323
Phone: (804) 320-3668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 0103301334 (VA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence SC006944 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1891282489
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 18, 2018
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated 2018 (8 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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