Kathy Lynn Wilkes, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB08335600 Issued in NJ

Practice address

555 High St Ste 16a
Mount Holly, NJ 08060-1084

Phone

(609) 444-5610

Fax

(609) 444-5611

NPI assigned

Oct 12, 2006

Last updated

Dec 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 8

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

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 2

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

On Demand Urgent Care Group PCGroup PAC ID 5991029712, 95 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.37 of 100Reported as group

Quality

70.23

Promoting interoperability

100

Improvement activities

40

Cost

77.22

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathy.wilkes.1@14965.direct.athenahealth.com
• Direct secure messaging: kwilkes99648@directvirtua.org

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.

• On Demand Urgent Care Group PC

  dba On Demand Urgent Care

  • Urgent Care Clinic/Center
  • Philadelphia, PA
  • NPI 1053729814
  Medicare reassignment Care Compare group NPD
• GT Urgent Care PC

  dba AFC Doctors Express Urgent Care

  • Urgent Care Clinic/Center
  • Clementon, NJ
  • NPI 1114327830
  Medicare reassignment NPD
• Virtua Medical Group, PA

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1649226515
  Medicare reassignment NPD
• Virtua Medical Group, PA

  dba Virtua Reconstructive Orthopedics - Delran

  • Orthopaedic Surgery Physician
  • Delran, NJ
  • NPI 1841087988
  NPD
• Virtua Medical Group, PA

  • Foot & Ankle Surgery Podiatrist
  • Marlton, NJ
  • NPI 1902356215
  NPD
• Virtua Medical Group, PA

  • Urgent Care Clinic/Center
  • Sewell, NJ
  • NPI 1720538564
  NPD (past)
• Virtua Medical Group, PA

  • Urgent Care Clinic/Center
  • Haddon Township, NJ
  • NPI 1932659778
  NPD (past)
• Medexpress Urgent Care, PC - Monaca

  • Urgent Care Clinic/Center
  • Monaca, PA
  • NPI 1801040092
  NPD (past)
• On Demand Urgent Care Group PC

  • Urgent Care Clinic/Center
  • Philadelphia, PA
  • NPI 1881083723
  NPD (past)
• On Demand Urgent Care Group, PC

  • Urgent Care Clinic/Center
  • Philadelphia, PA
  • NPI 1902341860
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1043309867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HIGH ST STE 16A",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601084",
            "telephone_number": "609-444-5610",
            "fax_number": "609-444-5611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 Hurffville Crosskeys Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080804005",
            "country_code": "US",
            "telephone_number": "856-341-8200",
            "fax_number": "856-341-8215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Route 73 N",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080534524",
            "country_code": "US",
            "telephone_number": "856-355-7120",
            "fax_number": "856-355-7121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "158 Route 73 Ste B",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439539",
            "country_code": "US",
            "telephone_number": "856-247-7230",
            "fax_number": "856-247-7231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 Route 70 E",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080342408",
            "country_code": "US",
            "telephone_number": "856-375-6240",
            "fax_number": "856-375-6241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 Route 70 Ste 1",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NJ",
            "postal_code": "080552371",
            "country_code": "US",
            "telephone_number": "609-367-0900",
            "fax_number": "609-367-0901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Young Ave Ste 180",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573139",
            "country_code": "US",
            "telephone_number": "856-291-8600",
            "fax_number": "856-291-8610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 W Cuthbert Blvd Unit 26",
            "address_purpose": "LOCATION",
            "city": "Haddon Township",
            "state": "NJ",
            "postal_code": "081083642",
            "country_code": "US",
            "telephone_number": "856-946-5180",
            "fax_number": "856-946-5181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKES",
        "first_name": "KATHY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS007161-L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB08335600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwilkes99648@directvirtua.org",
            "affiliation": "N",
            "address_1": "602 W Cuthbert Blvd Unit 26",
            "city": "Haddon Township",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081083642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwilkes99648@directvirtua.org",
            "affiliation": "N",
            "address_1": "315 Route 70 E",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080342408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwilkes99648@directvirtua.org",
            "affiliation": "N",
            "address_1": "555 High St Ste 16A",
            "city": "Mount Holly",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080601084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwilkes99648@directvirtua.org",
            "affiliation": "N",
            "address_1": "1001 Route 73 N",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080534524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwilkes99648@directvirtua.org",
            "affiliation": "N",
            "address_1": "158 Route 73 Ste B",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwilkes99648@directvirtua.org",
            "affiliation": "N",
            "address_1": "239 Hurffville Crosskeys Rd Ste 160",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080804005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwilkes99648@directvirtua.org",
            "affiliation": "N",
            "address_1": "401 Young Ave Ste 180",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080573139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwilkes99648@directvirtua.org",
            "affiliation": "N",
            "address_1": "128 Route 70 Ste 1",
            "city": "Medford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080552371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kenniqua West
• Riham S West, LPC
• Danielle White
• Katrina White
• Jan Wierski
• Camille Williams
• Elizabeth Williams
• Herbert Williams, PA-C
• Alison J Wilson, APN
• Brenda Wong

• Family Medicine Physician in Mount Holly, NJ
• Providers in Mount Holly, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.