Individual provider Active NPI

David Aaron Wilson, MD

  • Neurological Surgery Physician
  • Gilbert, AZ
National Provider Identifier
1093995052
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
44482 Issued in AZ
Practice address
3420 S Mercy Rd Ste 221
Gilbert, AZ 85297-0424
Phone
(480) 681-7374
Fax
(602) 294-8297
NPI assigned
Nov 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 44482 AZ Primary

Addresses

Primary practice location

3420 S Mercy Rd Ste 221
Gilbert, AZ 85297-0424

Mailing address

3420 S Mercy Rd Ste 221
Gilbert, AZ 85297-0424
Phone (480) 681-7374

Other practice location 1

1875 W Frye Rd Ste 300
Chandler, AZ 85224-6184
Phone (480) 917-5600

Other identifiers 2

IdentifierTypeStateIssuer
804847MedicaidAZ
44482OtherAZARIZONA MEDICA BOARD LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20130327000420 AZ Practitioner - Neurosurgery 2365687167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Missouri, Columbia School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgical Associates LTDGroup PAC ID 8820993967, 76 clinicians

Practice addresses (Care Compare)

3420 S Mercy Rd
Suite 221
Gilbert, AZ 85297-0424
Phone (480) 681-7134

Hospital & facility affiliations

  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
  • Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion56
Laminectomy or laminotomy (partial removal of spine bones)24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44482AZMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates, LTD Neurological Surgery CurrentSince Apr 13, 2020 Accepting new patients
Neurosurgical Associates, LTD Neurological Surgery CurrentSince Apr 13, 2020 Accepting new patients

Locations

1875 W Frye Rd
Ste 300
Chandler, AZ 85224
Phone (480) 917-5600

3420 S Mercy Rd
Ste 221
Gilbert, AZ 85297
Phone (480) 681-7374

2910 N 3rd Ave
#200
Phoenix, AZ 85013
Phone (602) 406-3008

2910 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 406-3008

7242 E Osborn Rd
Ste 420
Scottsdale, AZ 85251
Phone (480) 425-8004

Interoperability endpoints

  • Direct secure messaging: david.wilson.1@31799.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1093995052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 S MERCY RD STE 221",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970424",
            "telephone_number": "480-681-7374",
            "fax_number": "602-294-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 S MERCY RD STE 221",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970424",
            "telephone_number": "480-681-7374",
            "fax_number": "602-294-8297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1875 W Frye Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852246184",
            "country_code": "US",
            "telephone_number": "480-917-5600",
            "fax_number": "602-294-8297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DAVID",
        "middle_name": "AARON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-07",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AZ",
            "license": "44482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804847",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA MEDICA BOARD LICENSE",
            "identifier": "44482",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.