Individual provider Active NPI

Lloyd Michael Wilkinson, M.D.

  • Gastroenterology Physician
  • Palestine, TX
National Provider Identifier
1013926427
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G3911 Issued in TX
Practice address
2217 S Sycamore St
Palestine, TX 75801-4786
Phone
(903) 729-3993
Fax
(903) 729-6558
NPI assigned
Aug 5, 2006
Last updated
May 27, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G3911 TX Primary

Addresses

Primary practice location

2217 S Sycamore St
Palestine, TX 75801-4786

Mailing address

2217 S Sycamore St
Palestine, TX 75801-4786
Phone (903) 729-3993

Other identifiers 2

IdentifierTypeStateIssuer
131685303MedicaidTX
110105889OtherTXRAILROAD MEDICARE

Other names 1

  • Michael Wilkinson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130225000316 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 3072616820

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: michael_lloyd_wilkinson_-_physician@yourcarecommunity.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1013926427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 S SYCAMORE ST",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758014786",
            "telephone_number": "903-729-3993",
            "fax_number": "903-729-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 S SYCAMORE ST",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758014786",
            "telephone_number": "903-729-3993",
            "fax_number": "903-729-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "LLOYD",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "G3911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131685303",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110105889",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "WILKINSON",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palestine, TX

Sources for this page

Verify at the official NPI Registry.