Individual provider Active NPI

Francis V Estalilla, M.D.

  • Ophthalmology Physician
  • Aberdeen, WA
National Provider Identifier
1811051881
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD00032016 Issued in WA
Practice address
1720 Sumner Ave
Aberdeen, WA 98520-4616
Phone
(360) 532-1930
Fax
(360) 532-1963
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD00032016 WA Primary

Addresses

Primary practice location

1720 Sumner Ave
Aberdeen, WA 98520-4616

Mailing address

1720 Sumner Ave
Aberdeen, WA 98520-4616
Phone (360) 532-1930

Other identifiers 1

IdentifierTypeStateIssuer
7063290MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20091215000482 WA Practitioner - Ophthalmology 0446390819 Practice locations: Aberdeen, WA

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
30 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00032016WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Ophthalmology Ophthalmology PastSince Jan 1, 1990 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811051881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 SUMNER AVE",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985204616",
            "telephone_number": "360-532-1930",
            "fax_number": "360-532-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 SUMNER AVE",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985204616",
            "telephone_number": "360-532-1930",
            "fax_number": "360-532-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTALILLA",
        "first_name": "FRANCIS",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00032016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7063290",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, WA

Sources for this page

Verify at the official NPI Registry.