Dr Gustavo Pradilla, MD - Medicare Neurosurgery in Baltimore, MD

Dr Gustavo Pradilla, MD is a medicare enrolled "Neurological Surgery" physician in Baltimore, Maryland. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Emory Medical Care Foundation Inc, The Emory Clinic, Inc and his current practice location is 600 N Wolfe St, Meyer 8-161, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 955-6405.

Dr Gustavo Pradilla is licensed to practice in Maryland (license number P20471) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1659425916.

Contact Information

Dr Gustavo Pradilla, MD
600 N Wolfe St, Meyer 8-161,
Baltimore, MD 21287-0005
(410) 955-6405
Not Available

Map and Direction




Physician's Profile

Full NameDr Gustavo Pradilla
GenderMale
SpecialityNeurosurgery
Experience22 Years
Location600 N Wolfe St, Baltimore, Maryland
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Gustavo Pradilla graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1659425916
  • Provider Enumeration Date: 01/23/2007
  • Last Update Date: 11/27/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 4284878232
  • Enrollment ID: I20130913000367

Medical Identifiers

Medical identifiers for Dr Gustavo Pradilla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659425916NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery 070411 (Georgia)Secondary
207T00000XNeurological Surgery P20471 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grady Memorial HospitalAtlanta, GAHospital
Emory University Hospital MidtownAtlanta, GAHospital
Emory University HospitalAtlanta, GAHospital
Saint Joseph's Hospital Of Atlanta, IncAtlanta, GAHospital
Piedmont Newnan Hospital, IncNewnan, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emory Medical Care Foundation Inc4981501814814
The Emory Clinic, Inc88209014082729

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Gustavo Pradilla allows following entities to bill medicare on his behalf.
Entity NameThe Emory Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503
Entity NameEmory Medical Care Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063452381
PECOS PAC ID: 4981501814
Enrollment ID: O20031217000968

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gustavo Pradilla is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Gustavo Pradilla, MD
2318 Bright Leaf Way,
Baltimore, MD 21209-3470

Ph: (410) 358-3432
Dr Gustavo Pradilla, MD
600 N Wolfe St, Meyer 8-161,
Baltimore, MD 21287-0005

Ph: (410) 955-6405

Reviews and Comments


Neurological Surgery Doctors in Baltimore, MD

Dr. Whitney Erin Parker, MD, PHD
Neurological Surgery
Medicare: Medicare Enrolled
Practice Location: 600 N Wolfe Street, Phipps 554, Baltimore, MD 21287
Phone: 410-955-7851    Fax: 410-367-3255
Dr. Richard Louis Cohen, MD
Neurological Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1 Cornelius Ct, Baltimore, MD 21208
Phone: 410-764-3100    
Dr. William Wallace Ashley Jr., M.D., PH.D., M.B.A.
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 5051 Greenspring Ave, Suite 300, Baltimore, MD 21209
Phone: 410-601-4417    Fax: 410-601-7138
Dr. James Edmond Conway, MD
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 5051 Greenspring Ave, Suite 101, Baltimore, MD 21209
Phone: 410-664-3680    Fax: 410-664-3686
Dr. Daniel Michael Sciubba, M.D.
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 600 N Wolfe St, Meyer Building 8-161, Baltimore, MD 21287
Phone: 410-491-8330    Fax: 410-502-5768
Hatem S Abdo, MD
Neurological Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 19 Fontana Ln, Ste 206, Baltimore, MD 21237
Phone: 410-391-6904    Fax: 410-686-6640
Omar Akram Zalatimo, MD
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2700 Quarry Lake Dr, Suite 360, Baltimore, MD 21209
Phone: 410-486-0090    Fax: 410-486-0093

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.