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WILTON FIDELIS MD
NPI 1720874381
Student in an Organized Health Care Education/Training Program in Washington, DC

Active since April 18, 2025PECOS Enrolled
3900 RESERVOIR RD NW, WASHINGTON, DC 20007(202) 687-0100 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Wilton Fidelis Md NPPES

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

WILTON FIDELIS MD (NPI 1720874381) is an individual student in an organized health care education/training program in Washington, District Of Columbia and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720874381
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWILTON FIDELISCredential: MD
Location Address3900 RESERVOIR RD NWWashington, DC 20007-2126
Mailing Address622 W 168th StNew York, NY 10032-3720 · (817) 776-1223
Phone(202) 687-0100
Sole ProprietorNo
Enumeration DateApril 18, 2025
Last NPPES UpdateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1720874381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3900 RESERVOIR RD NW, Washington, DC 20007
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wilton Fidelis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

STEPHANIE BAOCHAU CHI NGUYEN
Student in an Organized Health Care Education/Training Program
3900 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 687-0100
SARA HOLZGRAFE PT
Physical Therapist
3900 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 444-8178
ISH A TALATI
Student in an Organized Health Care Education/Training Program
3900 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 687-0100
JESSICA MOONLY JIANG
Student in an Organized Health Care Education/Training Program
3900 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 687-0100
JESSICA RENEE ONG MD, PHD
Student in an Organized Health Care Education/Training Program
3900 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (626) 664-3483
GREGORIO BAEK
Student in an Organized Health Care Education/Training Program
3900 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 687-0100
MANAV MEHTA
Student in an Organized Health Care Education/Training Program
3900 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 687-0100
ADAM RAY PURVIS
Internal Medicine
3900 RESERVOIR RD NW
WASHINGTON, DC 20007
District of Columbia (202) 687-0100

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 Wilton Fidelis's NPI number?

The NPI number for Wilton Fidelis is 1720874381. It was assigned to this individual provider in the NPPES registry on April 18, 2025.

Where is Wilton Fidelis located?

Wilton Fidelis practices at 3900 Reservoir Rd NW, Washington, DC 20007. The listed phone number is (202) 687-0100.

What is Wilton Fidelis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Wilton Fidelis enrolled in Medicare?

Yes. Wilton Fidelis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wilton Fidelis was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.