Padma P Wijetilleke, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101033749 Issued in VA

Practice address

611 S Carlin Springs Rd
Suite 101
Arlington, VA 22204-1064

Phone

(703) 379-0704

Fax

(703) 379-7947

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, Doctor of Medicine

State licenses

Practice roles

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.

• Padma Wijetilleke,MD PC

  • Pediatric Adolescent Medicine Physician
  • Arlington, VA
  • NPI 1437473238
  NPD (past) Authorized official

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306861562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S CARLIN SPRINGS RD",
            "address_2": "SUITE 101",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041064",
            "telephone_number": "703-379-0704",
            "fax_number": "703-379-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S CARLIN SPRINGS RD",
            "address_2": "SUITE 101",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041064",
            "telephone_number": "703-379-0704",
            "fax_number": "703-379-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIJETILLEKE",
        "first_name": "PADMA",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101033749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006716059",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whole Healing Mental Health LLC
• Megan Wholey, AOCNP
• Bianca Angelica Whorl, M.S. CCC-SLP
• Jacqueline Wichern
• Macy Alexandra Wiger
• Heather L Wilcox, LMFT
• Mary Wilcox, MSW
• Ryan Wildenhain, ATC
• Erica Leigh Wiles
• Katherine Grace Kopriva Wiles

• Specialist in Arlington, VA
• Providers in Arlington, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.