Padma Wijetilleke,MD PC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

0101033749 Issued in VA

Legal business name

PADMA WIJETILLEKE,MD PC

Practice address

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

Phone

(703) 379-0704

Fax

(703) 379-7947

NPI assigned

Mar 23, 2010

Last updated

Mar 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Padma P Wijetilleke, M.D.NPI 1306861562

Title

Physician

Phone

(703) 379-0704

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Padma P Wijetilleke, MD

  • Specialist
  • Arlington, VA
  • NPI 1306861562
  NPD (past) Authorized official
• Medhine Anusha Wijetilleke, M.D.

  • Pediatrics Physician
  • Leesburg, VA
  • NPI 1659548873
  NPD (past)

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1437473238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S CARLIN SPRINGS RD",
            "address_2": "STE 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": "STE 101",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041064",
            "telephone_number": "703-379-0704",
            "fax_number": "703-379-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADMA WIJETILLEKE,MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "WIJETILLEKE",
        "authorized_official_first_name": "PADMA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "703-379-0704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "VA",
            "license": "0101033749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6716059",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oxiwear Inc
• Oxymed LLC
• Kathryn Elizabeth Pacheco, MSW
• Pacify Health LLC
• Elizabeth Wine Paddrik, PSYD
• Emily Elizabeth Pagan, MD
• Andrea Paight
• Michael Hune Paik, MD
• Ronald Paik, M.D.
• Rosario Torralba Palabrica, D.D.S.

• Pediatric Adolescent Medicine Physician in Arlington, VA
• Providers in Arlington, VA by specialty
• Pediatric Adolescent Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.