Active NPI
Luis Fernando Padilla, MD
- Family Medicine Physician
- Washington, DC
National Provider Identifier
1730232828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD035114
- Practice address
- 3020 14TH St NW
Washington, DC 20009-6865 - Phone
- (202) 745-4300
- Fax
- (202) 299-1731
- NPI assigned
- Jan 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD035114 | DC | Primary |
Addresses
Primary practice location
3020 14TH St NW
Washington, DC 20009-6865
Mailing address
3020 14TH St NW
Washington, DC 20009-6865
Phone (202) 745-4300
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4818 | Other | DC | ELDER HEALTH PLAN |
| 5039 | Other | DC | HEALTHRIGHT |
| G473-0110 | Other | DC | CAREFIRST BCBS |
| 22660 | Other | DC | CHARTERED HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD035114 | DC | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340668800000",
"number": "1730232828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 14TH ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200096865",
"telephone_number": "202-745-4300",
"fax_number": "202-299-1731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 14TH ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200096865",
"telephone_number": "202-745-4300",
"fax_number": "202-299-1731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA",
"first_name": "LUIS",
"middle_name": "FERNANDO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2012-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DC",
"license": "MD035114",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDER HEALTH PLAN",
"identifier": "4818",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHRIGHT",
"identifier": "5039",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "G473-0110",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHARTERED HEALTH PLAN",
"identifier": "22660",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.