NPIMap

Individual provider Active NPI

Jonathan W Wilding, M.D.

  • Internal Medicine Physician
  • Louisville, KY
National Provider Identifier
1033176060
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
27444 Issued in KY
Practice address
7926 Preston Hwy
Suite 208
Louisville, KY 40219-3848
Phone
(502) 968-3010
Fax
(502) 968-0035
NPI assigned
Apr 26, 2006
Last updated
Apr 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27444 KY Primary

Addresses

Primary practice location

7926 Preston Hwy
Suite 208
Louisville, KY 40219-3848

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 9

IdentifierTypeStateIssuer
1055818OtherPASSPORT / NCMA
64274442MedicaidKY
110161205OtherKYMEDICARE RAILROAD
1198266OtherCHA / NCMA
2433815000OtherPASSPORT ADVANTAGE / NCMA
008890OtherSIHO / NCMA
7107709003OtherCIGNA / NCMA
00000050941OtherANTHEM / NCMA
000023035AOtherHUMANA / NCMA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jwilding1742@direct.nortonhealthcare.org Direct
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050104000217 KY Practitioner - Internal Medicine 9739137043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Louisville School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

7430 Jefferson Blvd
Louisville, KY 40219-6159

7926 Preston Hwy
Louisville, KY 40219-3848

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27444KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Oct 20, 1997 Accepting new patients
Community Medical Associates, Inc. Internal Medicine CurrentSince Oct 20, 1997 Accepting new patients

Locations

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

315 E Broadway
Louisville, KY 40202
Phone (502) 272-5331

3991 Dutchmans Ln
Ste 208
Louisville, KY 40207
Phone (502) 897-2440

7430 Jefferson Blvd
#200
Louisville, KY 40219
Phone (502) 966-8675

7926 Preston Hwy
Ste 2
Louisville, KY 40219
Phone (502) 968-3010

7926 Preston Hwy
Ste 208
Louisville, KY 40219
Phone (502) 425-5556

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

Organizations & group practices 3

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.

Hospital & facility affiliations 39

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1033176060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7926 PRESTON HWY",
            "address_2": "SUITE 208",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402193848",
            "telephone_number": "502-968-3010",
            "fax_number": "502-968-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDING",
        "first_name": "JONATHAN",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "27444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT / NCMA",
            "identifier": "1055818",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64274442",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110161205",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA / NCMA",
            "identifier": "1198266",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE / NCMA",
            "identifier": "2433815000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO / NCMA",
            "identifier": "008890",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA / NCMA",
            "identifier": "7107709003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM / NCMA",
            "identifier": "00000050941",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA / NCMA",
            "identifier": "000023035A",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwilding1742@direct.nortonhealthcare.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7926 Preston Hwy",
            "address_2": "Suite 208",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402193848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7926 Preston Hwy",
            "address_2": "Suite 208",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402193848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.