Individual provider Active NPI

Karina Giuliana Espinoza Ardiles, MD

  • Pediatrics Physician
  • Leonardtown, MD
National Provider Identifier
1396204459
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101274971 Issued in VA
Practice address
23511 Hollywood Rd
Leonardtown, MD 20650-5833
Phone
(301) 997-0611
NPI assigned
Mar 18, 2019
Last updated
Feb 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pediatrics Physician 208000000X 0101274971 VA Primary

Addresses

Primary practice location

23511 Hollywood Rd
Leonardtown, MD 20650-5833

Mailing address

23511 Hollywood Rd
Leonardtown, MD 20650-5833
Phone (301) 997-0611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240219002848 MD Practitioner - Pediatric Medicine 5991129447 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Dec 11, 2023 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 11, 2023 Accepting new patients
University of California Irvine Past Accepting new patients

Locations

3007 Tilden St NW
Ste 5N
Washington, DC 20008

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

23511 Hollywood Rd
Leonardtown, MD 20650
Phone (240) 577-6433

23511 Hollywood Rd
Ste 2
Leonardtown, MD 20650
Phone (301) 997-0611

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1396204459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23511 HOLLYWOOD RD",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206505833",
            "telephone_number": "301-997-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23511 HOLLYWOOD RD",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206505833",
            "telephone_number": "301-997-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOZA ARDILES",
        "first_name": "KARINA GIULIANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101274971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonardtown, MD

Sources for this page

Verify at the official NPI Registry.