Active NPI
Louisa Wall Whitesides, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Washington, DC
National Provider Identifier
1356703011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- MD047091
- Practice address
- 4910 Massachusetts Ave NW Ste 215
Washington, DC 20016-4368 - Phone
- (202) 953-0990
- NPI assigned
- Mar 22, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MD047091 | DC | Primary |
| Internal Medicine Physician | 207R00000X | MD07091 | DC | |
| Internal Medicine Physician | 207R00000X | MD047091 | DC | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
4910 Massachusetts Ave NW Ste 215
Washington, DC 20016-4368
Mailing address
4910 Massachusetts Ave NW Ste 215
Washington, DC 20016-4368
Phone (202) 953-0990
Other names 1
- Louisa King Wall
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 2, 2025 through Oct 2, 2027
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Emory University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD07091 | DC | MD | Internal Medicine Physician |
Interoperability endpoints
- louisa.whitesides@670646104817668.direct.elationemr.com
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Bethesda, MD
- NPI 1457354748
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Washington, DC
- NPI 1669426730
-
- General Acute Care Hospital
- Washington, DC
- NPI 1487640207
-
- General Acute Care Hospital
- Washington, DC
- NPI 1366492977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1356703011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4910 MASSACHUSETTS AVE NW STE 215",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200164368",
"telephone_number": "202-953-0990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4910 MASSACHUSETTS AVE NW STE 215",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200164368",
"telephone_number": "202-953-0990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITESIDES",
"first_name": "LOUISA",
"middle_name": "WALL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-22",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "DC",
"license": "MD047091",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DC",
"license": "MD07091",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DC",
"license": "MD047091",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LOUISA",
"last_name": "WALL",
"middle_name": "KING",
"code": "1",
"type": "Former Name"
}
]
}
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 May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.