Individual provider Active NPI

Kevin David Wilson, M.D.

  • Family Medicine Physician
  • McAllen, TX
National Provider Identifier
1073787776
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M9743 Issued in TX
Practice address
3801 N McColl Rd Apt 617
McAllen, TX 78501-9141
Phone
(956) 878-9423
NPI assigned
Apr 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M9743 TX Primary

Addresses

Primary practice location

3801 N McColl Rd Apt 617
McAllen, TX 78501-9141

Mailing address

3801 N McColl Rd Apt 617
McAllen, TX 78501-9141
Phone (956) 878-9423

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
I20081009000453 TX Practitioner - Emergency Medicine 5092883694 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Emergency Partners LLC CurrentSince Mar 28, 2013 Accepting new patients
Rio Grande Valley Emergency Physicians PLLC CurrentSince Feb 1, 2009 Accepting new patients
Victoria Emergency Associates LLC CurrentSince Nov 1, 2014 Accepting new patients
Hidalgo Emergency Medicine Associates PA Past Accepting new patients
Medexpress Urgent Care Texas, P.a. Past Accepting new patients

Locations

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

900 S Bryan Rd
Mission, TX 78572
Phone (956) 323-9000

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

Interoperability endpoints

  • Direct secure messaging: kevin.wilson.1@27404.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1073787776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 N MCCOLL RD APT 617",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785019141",
            "telephone_number": "956-878-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 N MCCOLL RD APT 617",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785019141",
            "telephone_number": "956-878-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KEVIN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M9743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.