Wilmer Maldonado

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

20 Pidgeon Hill Dr Ste 202
Sterling, VA 20165-6134

Phone

(571) 723-1833

Fax

(703) 997-4067

NPI assigned

Aug 17, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Forever Senior Care LLC

  • Home Health Agency
  • Falls Church, VA
  • NPI 1134944614
  NPD Authorized official

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1881312692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PIDGEON HILL DR STE 202",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201656134",
            "telephone_number": "571-723-1833",
            "fax_number": "703-997-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PIDGEON HILL DR STE 202",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201656134",
            "telephone_number": "571-723-1833",
            "fax_number": "703-997-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "WILMER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Houriya Mahboobi, O.D.
• Mahedavi Dental PLLC
• Mahgoub DDS PLLC
• Anisah Mahmood
• Angel Maillet
• Sabina Malhotra, D.P.M.
• Poolatsya Girishbhai Maliwad, P.T.
• Corey Jason Malnikof, DC
• Vivian K Malnikof, DC
• Dattathri B Malyavantham, DDS

• Non-emergency Medical Transport (VAN) in Sterling, VA
• Providers in Sterling, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.