NPIMap

Individual provider Active NPI

Julian Llado Espiritu, M.D.

  • Specialist
  • South Charleston, WV
National Provider Identifier
1730174970
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
14901 Issued in WV
Practice address
24 Maccorkle Ave SW
Suite 201
South Charleston, WV 25303-1476
Phone
(304) 720-5000
Fax
(304) 720-5003
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 14901 WV Primary

Addresses

Primary practice location

24 Maccorkle Ave SW
Suite 201
South Charleston, WV 25303-1476

Mailing address

24 Maccorkle Ave SW
Suite 201
South Charleston, WV 25303-1476
Phone (304) 720-5000

Other identifiers 2

IdentifierTypeStateIssuer
0071269000MedicaidWV
14901OtherWVSTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090617000388 WV Practitioner - NephrologyPractitioner - Internal Medicine 7113836990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
College of Medicine and Surgery, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24 Maccorkle Ave SW
Suite 201
South Charleston, WV 25303-1478
Phone (304) 720-5000

24 Maccorkle SW Ave
Suite 201
South Cahrleston, WV 25303-1478

Hospital & facility affiliations

  • DaVita Greater Charleston Dialysis Dialysis facility, South Charleston, WV, CCN 512520
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029
  • Boone Memorial Hospital Hospital, Madison, WV, CCN 511313

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
92.54
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Consultants, PLLC Specialist CurrentSince May 1, 2000 Accepting new patients

Locations

24 Maccorkle Ave SW
South Charleston, WV 25303
Phone (304) 720-2222

24 Maccorkle Ave SW
Ste 201
South Charleston, WV 25303
Phone (304) 720-5000

Interoperability endpoints

  • Direct secure messaging: julian.espiritu@xrco.ssdirect.aprima.com

Organizations & group practices 1

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

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1730174970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MACCORKLE AVE SW",
            "address_2": "SUITE 201",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031476",
            "telephone_number": "304-720-5000",
            "fax_number": "304-720-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MACCORKLE AVE SW",
            "address_2": "SUITE 201",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031476",
            "telephone_number": "304-720-5000",
            "fax_number": "304-720-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPIRITU",
        "first_name": "JULIAN",
        "middle_name": "LLADO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "14901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071269000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "14901",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.