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

Dr. Richard Derner, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1932177607

Dr. Richard Derner, DPM is a Podiatry in Lake Ridge, Virginia. Graduated from Kent State University College of Podiatric Medicine in 1987, 39 years ago. Practices with Foot and Ankle Specialists of the Mid-Atlantic LLC, a 154-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
39
Trained at
Kent State University College of Podiatric Medicine
Licensed in
VA
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1721 Financial Loop
Lake Ridge, VA 22192-2460
Phone: (703) 491-9500
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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 0103000824 (VA)

Record details

NPI number1932177607
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 9, 2006
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024
Mailing address1721 Financial Loop, Lake Ridge, VA 22192-2460

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 1987 (39 years in practice)
Group practice Foot And Ankle Specialists Of The Mid-Atlantic Llc — 154 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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