Individual provider Active NPI

Victor Manuel Padilla, M.D.

  • Gastroenterology Physician
  • Hialeah, FL
National Provider Identifier
1518955020
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME0055352 Issued in FL
Practice address
2140 W 68TH St
Suite 305
Hialeah, FL 33016-1815
Phone
(305) 822-4108
Fax
(305) 822-5086
NPI assigned
Oct 10, 2005
Last updated
Jun 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME0055352 FL Primary

Addresses

Primary practice location

2140 W 68TH St
Suite 305
Hialeah, FL 33016-1815

Mailing address

2140 W 68TH St
Suite 305
Hialeah, FL 33016-1815
Phone (305) 822-4108

Other identifiers 2

IdentifierTypeStateIssuer
373690300MedicaidFL
09436OtherFLBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110707000103 FL Practitioner - Gastroenterology 3274634118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Medicine AssociatesGroup PAC ID 3779510102, 17 clinicians

Practice addresses (Care Compare)

2140 W 68 St
Suite 300
Hialeah, FL 33016-1815
Phone (305) 822-4107

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy29
Upper gastrointestinal (GI) endoscopy for acid reflux29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0055352FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Medicine Associates Gastroenterology CurrentSince Jun 5, 1989 Accepting new patients
Digestive Medicine Histology Lab, LLC PastSince Aug 1, 2010 Accepting new patients

Locations

3133 Ponce de Leon Blvd
Coral Gables, FL 33134

2140 W 68th St
Ste 102
Hialeah, FL 33016
Phone (305) 822-4107

2140 W 68th St
Ste 300
Hialeah, FL 33016
Phone (305) 822-4107

2140 W 68th St
Ste 305
Hialeah, FL 33016
Phone (305) 822-4107

11410 N Kendall Dr
Ste 311
Miami, FL 33176
Phone (866) 347-1821

Interoperability endpoints

  • Direct secure messaging: victorpadilla@dma.allscriptsdirect.net

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, 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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1518955020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 W 68TH ST",
            "address_2": "SUITE 305",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161815",
            "telephone_number": "305-822-4108",
            "fax_number": "786-497-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 W 68TH ST",
            "address_2": "SUITE 305",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161815",
            "telephone_number": "305-822-4108",
            "fax_number": "305-822-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "VICTOR",
        "middle_name": "MANUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0055352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373690300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "09436",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.