Active NPI
Teresa Leah Hilliard, DPM
- Podiatrist
- Bladensburg, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO517
- Practice address
- 5632 Annapolis Rd Ste 12
Bladensburg, MD 20710-2213 - Phone
- (301) 390-4440
- Fax
- (202) 726-0656
- NPI assigned
- Oct 25, 2006
- Last updated
- Oct 30, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 103000906 | VA | |
| Podiatrist | 213E00000X | 01129 | MD | |
| Podiatrist | 213E00000X | PO517 | DC | Primary |
Addresses
Primary practice location
5632 Annapolis Rd Ste 12
Bladensburg, MD 20710-2213
Mailing address
615 Quackenbos St NW
Washington, DC 20011-1229
Phone (301) 390-4440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011297300 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3394 Old Washington Rd
Waldorf, MD 20602-3204
Phone (301) 390-4440
4410 Claiborne SQ E
Suite 334
Hampton, VA 23666-2074
Phone (888) 964-6681
5632 Annapolis Rd
Bladensburg, MD 20710-2213
Phone (301) 390-4440
6700 Alexander Bell Dr
Suite 200
Columbia, MD 21046-2105
Phone (888) 964-6681
7525 Carroll Ave
Takoma Park, MD 20912-5715
Phone (888) 964-6681
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 21 |
| Removal of nail tissue | 1496 |
| Removal or shaving of skin growth | 148 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01129 | MD | MD | Podiatrist |
| 103000906 | VA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Podiatry P C | Podiatrist | Current | Accepting new patients |
| Healthdrive Podiatry Group, PC | Podiatrist | Current | Accepting new patients |
| Healthdrive Podiatry Group, PC | Podiatrist | Current | Accepting new patients |
Locations
100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486
5632 Annapolis Rd
Ste 12
Bladensburg, MD 20710
Phone (202) 650-4918
6700 Alexander Bell Dr
Ste 200
Columbia, MD 21046
Phone (201) 581-3411
8416 Central Ave
Landover, MD 20785
Phone (301) 336-3355
7525 Carroll Ave
Takoma Park, MD 20912
Phone (301) 270-4200
4410 Claiborne Sq E
Ste 334
Hampton, VA 23666
Phone (757) 606-1377
Interoperability endpoints
- https://api.platform.athenahealth.com/4379/brand/1/csg/1/fhir/r4
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.
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Maryland Bowie Health Center
- General Acute Care Hospital
- Upper Marlboro, MD
- NPI 1720099286
-
- General Acute Care Hospital
- Washington, DC
- NPI 1487740957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1558445379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 QUACKENBOS ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200111229",
"telephone_number": "301-390-4440",
"fax_number": "202-726-0656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5632 ANNAPOLIS RD STE 12",
"city": "BLADENSBURG",
"state": "MD",
"postal_code": "207102213",
"telephone_number": "301-390-4440",
"fax_number": "202-726-0656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLIARD",
"first_name": "TERESA",
"middle_name": "LEAH",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "VA",
"license": "103000906",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MD",
"license": "01129",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "DC",
"license": "PO517",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011297300",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bladensburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.
- 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.