VICTOR MANUEL PADILLA M.D.
NPI 1518955020
Internal Medicine - Gastroenterology in Hialeah, FL

Active since October 10, 2005PECOS EnrolledAccepts Medicare Assignment
2140 W 68TH ST, SUITE 305, HIALEAH, FL 33016(305) 822-4108(305) 822-5086 Get Directions Write a Review

NPPES record last updated: June 26, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Victor Manuel Padilla M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICTOR MANUEL PADILLA M.D. (NPI 1518955020) is an individual gastroenterology provider in Hialeah, Florida, licensed in Florida (ME0055352) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1518955020
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameVICTOR MANUEL PADILLACredential: M.D.
Location Address2140 W 68TH ST, SUITE 305Hialeah, FL 33016-1815
Mailing Address2140 W 68th St, Suite 305Hialeah, FL 33016-1815 · (305) 822-4108 · Fax (786) 497-2989
Fax(305) 822-5086
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateOctober 10, 2005
Last NPPES UpdateJune 26, 2012
NPI 1518955020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in FL · ME0055352
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2140 W 68TH ST, Hialeah, FL 33016

Other Identifiers 4

Medicare UPINE63451FL
Medicaid373690300FL
Other09436FL · Bc/bs
Medicare ID-Type Unspecified09436XFL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Victor Manuel Padilla M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274634118
PECOS Enrollment IDI20110707000103
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
26 services26 patients
Ultrasound scan of organ tissue for measuring elasticity 76981
An ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.
14 services14 patients
Limited ultrasound scan of abdomen 76705
A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
2140 W 68TH ST, SUITE 201
HIALEAH, FL 33016
Nurse Practitioner (Adult Health)
2140 W 68TH ST
HIALEAH, FL 33016
Urology
2140 W 68TH ST, SUITE 200
HIALEAH, FL 33016
Physical Therapist
2140 W 68TH ST, STE 101
HIALEAH, FL 33016
Internal Medicine
2140 W 68TH ST, 308
HIALEAH, FL 33016
Internal Medicine (Rheumatology)
2140 W 68TH ST, STE 406
HIALEAH, FL 33016
Internal Medicine (Cardiovascular Disease)
2140 W 68TH ST, STE 403
HIALEAH, FL 33016
General Practice
2140 W 68TH ST, SUITE 401-A
HIALEAH, FL 33016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victor Padilla's NPI number?

The NPI number for Victor Padilla is 1518955020. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Where is Victor Padilla located?

Victor Padilla practices at 2140 W 68th St Suite 305, Hialeah, FL 33016. The listed phone number is (305) 822-4108.

What is Victor Padilla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Victor Padilla enrolled in Medicare?

Yes. Victor Padilla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Victor Padilla accept?

Health plans from AmeriHealth Caritas Next, AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer list Victor Padilla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Victor Padilla was last updated on June 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.