Individual provider Active NPI

Gloria Wilder, MD

  • Pediatrics Physician
  • Washington, DC
National Provider Identifier
1083758056
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD21918 Issued in DC
Practice address
2516 Sheridan Rd SE Ste a
Washington, DC 20020-5265
Phone
(202) 610-6106
Fax
(202) 610-6107
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101055487 VA
Pediatrics Physician 208000000X MD21918 DC Primary

Addresses

Primary practice location

2516 Sheridan Rd SE Ste a
Washington, DC 20020-5265

Mailing address

2516 Sheridan Rd SE Ste a
Washington, DC 20020-5265
Phone (202) 610-6106

Other identifiers 2

IdentifierTypeStateIssuer
0294657 00MedicaidDC
6704701MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD21918DCMDPediatrics Physician
0101055487VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Core Health and Wellness Center Current Accepting new patients
Core Health and Wellness Center Pediatrics CurrentSince Jun 11, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAFEDD/Endpoint/AAFEDD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1083758056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 SHERIDAN RD SE STE A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205265",
            "telephone_number": "202-610-6106",
            "fax_number": "202-610-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 SHERIDAN RD SE STE A",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200205265",
            "telephone_number": "202-610-6106",
            "fax_number": "202-610-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDER",
        "first_name": "GLORIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101055487",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "MD21918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0294657 00",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6704701",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.