Individual provider Active NPI

Teresa Leah Hilliard, DPM

  • Podiatrist
  • Bladensburg, MD
National Provider Identifier
1558445379
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO517 Issued in DC
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
011297300MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110823000771 DC Practitioner - Podiatry 8426228891 Reassigns benefits to 2 organizations
Practice locations: Hyattsville, MD
I20220927001288 MD Practitioner - Podiatry 8426228891 Reassigns benefits to 2 organizations
I20250407000070 VA Practitioner - Podiatry 8426228891 Reassigns benefits to 1 organization

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
Healthdrive Podiatry Group PCGroup PAC ID 3375446958, 105 clinicians

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

ProcedureNumber of procedures
Removal of tissue21
Removal of nail tissue1496
Removal or shaving of skin growth148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01129MDMDPodiatrist
103000906VAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Podiatry P C Podiatrist CurrentSince Jul 24, 2006 Accepting new patients
Healthdrive Podiatry Group, PC Podiatrist CurrentSince Nov 18, 2024 Accepting new patients
Healthdrive Podiatry Group, PC Podiatrist CurrentSince Nov 18, 2024 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.