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

Robert M Hallivis, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1215938006

Robert M Hallivis, DPM is a Podiatry in Fairfax, Virginia. Qualified in 2010, 16 years ago. Practices with Privia Medical Group, LLC, a 1,518-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
16
Licensed in
VA
In the registry since
2005
Specialties on file
2
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

3998 Fair Ridge Dr Ste 280
Fairfax, VA 22033-2907
Phone: (703) 849-8400
Fax: (703) 849-8448
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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 0103300812 (VA)
Sports Medicine Podiatrist Taxonomy 213ES0000X · Licence 0103300812 (VA)

Record details

NPI number1215938006
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedAugust 3, 2005
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 2022
Mailing address3998 Fair Ridge Dr Ste 280, Fairfax, VA 22033-2907

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Privia Medical Group, Llc — 1518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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