Individual provider Active NPI

Aaron Tyler Wild, MD

  • Radiation Oncology Physician
  • Charlotte, NC
National Provider Identifier
1124397328
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
247736 Issued in NC
Practice address
200 Queens Rd Ste 400
Charlotte, NC 28204-3264
Phone
(704) 333-7376
NPI assigned
Dec 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 247736 NC Primary

Addresses

Primary practice location

200 Queens Rd Ste 400
Charlotte, NC 28204-3264

Mailing address

200 Queens Rd Ste 400
Charlotte, NC 28204-3264
Phone (704) 333-7376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190531001754 SC Practitioner - Radiation Oncology 0143553495 Reassigns benefits to 1 organization
I20190611000505 NC Practitioner - Radiation Oncology 0143553495 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Johns Hopkins University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Carolinas Radiation Therapy LLCGroup PAC ID 8325038763, 19 clinicians
Radiation Oncology Centers of the Carolinas, Inc.Group PAC ID 7810956380, 14 clinicians
Southeast Radiation Oncology Group, P.a.Group PAC ID 1254233950, 52 clinicians

Practice addresses (Care Compare)

1005 W Meeting St
Lancaster, SC 29720-2205
Phone (803) 283-6200

1400 Matthews Township Pkwy
Matthews, NC 28105-4655
Phone (704) 845-8800

170 Medical Park Rd
Suite 100
Mooresville, NC 28117-8541
Phone (704) 235-2580

200 Queens Rd
Charlotte, NC 28204-3264
Phone (704) 333-7376

222 S Herlong Ave
Rock Hill, SC 29732-1158

228 S Herlong Ave
Rock Hill, SC 29732-1158
Phone (803) 366-5186

920 Church N St
Concord, NC 28025-2927
Phone (704) 333-7376

Hospital & facility affiliations

  • Carolinas Medical Center-Northeast Hospital, Concord, NC, CCN 340001
  • Novant Health Huntersville Medical Center Hospital, Huntersville, NC, CCN 340183
  • Duke Health Lake Norman Hospital Hospital, Mooresville, NC, CCN 340129
  • Atrium Health University City Hospital, Charlotte, NC, CCN 340166
  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
247736NCMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Carolinas Radiation Therapy LLC CurrentSince Jul 1, 2019 Accepting new patients
Radiation Oncology Centers of the Carolinas, Inc. Radiation Oncology CurrentSince Jul 1, 2019 Accepting new patients
Southeast Radiation Oncology Group, P.a. Radiation Oncology CurrentSince Jul 1, 2019 Accepting new patients
Piedmont Carolinas Radiation Therapy LLC CurrentSince Jul 1, 2019 Accepting new patients
Radiation Oncology Centers of the Carolinas, Inc. Radiation Oncology CurrentSince Jul 1, 2019 Accepting new patients

Locations

1021 E Morehead St
Charlotte, NC 28204

200 Queens Rd
Ste 400
Charlotte, NC 28204
Phone (704) 765-2578

1400 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 845-8800

170 Medical Park Rd
Ste 100
Mooresville, NC 28117
Phone (704) 235-2580

1005 W Meeting St
Lancaster, SC 29720
Phone (803) 283-6200

228 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 366-5186

Interoperability endpoints

  • Direct secure messaging: awild674626@direct.medicine.duke.edu

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.

Hospital & facility affiliations 9

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": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1124397328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 QUEENS RD STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043264",
            "telephone_number": "704-333-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 QUEENS RD STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043264",
            "telephone_number": "704-333-7376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILD",
        "first_name": "AARON",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-19",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NC",
            "license": "247736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.