Robert Wiley, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

J9440 Issued in TX

Practice address

1850 Hickory St
Suite #102
Abilene, TX 79601-2334

Phone

(325) 677-2801

Fax

(325) 677-9110

NPI assigned

Aug 9, 2006

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 4

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: rob@directaddress.net

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.

• Professional Assn for Pediatrics

  • Pediatrics Physician
  • Abilene, TX
  • NPI 1316957731
  Medicare reassignment

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1124038104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 HICKORY ST",
            "address_2": "SUITE #102",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012334",
            "telephone_number": "325-677-2801",
            "fax_number": "325-677-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 HICKORY ST",
            "address_2": "SUITE #102",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012334",
            "telephone_number": "325-677-2801",
            "fax_number": "325-677-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J9440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR / CHIP",
            "identifier": "113394",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86X084",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111645104",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE - HMO",
            "identifier": "126868100",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert E Wiggins Jr., D.D.S.
• Clark David Wiginton, MD
• Aimee Danielle Wilcox
• Sarah Lindsey Wilde, PT
• Erin Wiley, LPC
• Ryan Wilhelm
• Ashten Cheyenne Wilkinson, MA, BCBA, LBA
• Ramie Wrenn Wilks, L.P.C
• Sharon Kay Willerton, FNP-C
• Austin Amos Willhelm, LMFT

• Pediatrics Physician in Abilene, TX
• Providers in Abilene, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.