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

Sam Mark, DPM

Individual provider Podiatrist · NPI 1770014193

Sam Mark, DPM is a Podiatry in Alexandria, Virginia. Graduated from New York College of Podiatric Medicine in 2017, 9 years ago. Practices with Loudoun Medical Group, PC, a 274-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
9
Trained at
New York College of Podiatric Medicine
Licensed in
VA
In the registry since
2017
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

4660 Kenmore Ave Ste 608
Alexandria, VA 22304-1306
Phone: (703) 578-4161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 0103301337 (VA)

Record details

NPI number1770014193
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedMarch 27, 2017
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023
Mailing address224d Cornwall St Nw Ste 403, Leesburg, VA 20176-2704

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2017 (9 years in practice)
Group practice Loudoun Medical Group, Pc — 274 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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