Individual provider Active NPI

James B Wilkens Jr., M.D.

  • Internal Medicine Physician
  • Titusville, PA
National Provider Identifier
1104821396
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD043086E Issued in PA
Practice address
322 W Main St
Titusville, PA 16354-1615
Phone
(814) 827-9770
Fax
(814) 827-0157
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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 MD043086E PA Primary

Addresses

Primary practice location

322 W Main St
Titusville, PA 16354-1615

Mailing address

322 W Main St
Titusville, PA 16354-1615
Phone (814) 827-9770

Other identifiers 1

IdentifierTypeStateIssuer
0011804220002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20081105000117 PA Practitioner - Internal Medicine 5991774135 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Columbia University College of Physicians and Surgeons, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians
Titusville Area HospitalGroup PAC ID 8022907575, shared by 16 NPIs, 77 clinicians

Practice addresses (Care Compare)

316 Allegheny Blvd
Suite B
Franklin, PA 16323-6208
Phone (814) 432-7200

406 W Oak St
Titiusville, PA 16354-1404
Phone (814) 827-8963

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD043086EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Titusville Area Hospital CurrentSince May 1, 2025 Accepting new patients
Titusville Area Hospital CurrentSince Jan 11, 1989 Accepting new patients
Titusville Area Hospital CurrentSince Oct 28, 2017 Accepting new patients
Titusville Area Hospital CurrentSince Jan 11, 1989 Accepting new patients
Titusville Area Hospital Past Accepting new patients

Locations

406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851

339 W Spring St
Ste 101
Titusville, PA 16354
Phone (814) 827-3400

Organizations & group practices 6

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 4

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1104821396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 W MAIN ST",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541615",
            "telephone_number": "814-827-9770",
            "fax_number": "814-827-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 W MAIN ST",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541615",
            "telephone_number": "814-827-9770",
            "fax_number": "814-827-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKENS",
        "first_name": "JAMES",
        "middle_name": "B",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD043086E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011804220002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, PA

Sources for this page

Verify at the official NPI Registry.