Wilton David McRae, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

6245 Issued in AL

Practice address

1320 Highway 231 S
Suite 3
Troy, AL 36081-3000

Phone

(334) 807-8448

Fax

(334) 807-6099

NPI assigned

Oct 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wilton.mcrae.1@3503.direct.athenahealth.com

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.

• Troy Regional Physicians Inc

  dba Surgeons At Troy Regional Physicians Inc.

  • Specialist
  • Troy, AL
  • NPI 1003124421
  Medicare reassignment NPD
• Troy Regional Physicians Inc.

  dba Limited Primary Care/Women's Health at Troy Regional Physicians Inc.

  • Primary Care Clinic/Center
  • Troy, AL
  • NPI 1174832281
  NPD
• Southeastern ENT, P.C.

  • Specialist
  • Enterprise, AL
  • NPI 1487708731
  NPD (past)

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1093706905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 HIGHWAY 231 S",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360813058",
            "telephone_number": "334-670-5474",
            "fax_number": "334-670-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 HIGHWAY 231 S",
            "address_2": "SUITE 3",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360813000",
            "telephone_number": "334-807-8448",
            "fax_number": "334-807-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCRAE",
        "first_name": "WILTON",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "6245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009962705",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/ENTERPRISE",
            "identifier": "051512237",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051552696",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID BILLING GROUP #",
            "identifier": "529402450",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "51523327",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susanna Carol McLaney, M.S., CCC-SLP
• Michelle McLendon, LPC
• Kimberly Davis McLeod, LPC
• Andrew McNally, MPT
• Amber McNulty
• Me Time LLC
• Medical Digital Telehealth, LLC
• Menm, LLC (Miracle Ear Center)
• Mental Wellness Center of Troy, LLC
• Overia Merriweather

• Otolaryngology Physician in Troy, AL
• Providers in Troy, AL by specialty
• Otolaryngology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.