Active NPI
Aaron Tyler Wild, MD
- Radiation Oncology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 247736
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Novant Health Huntersville Medical Center
- Duke Health Lake Norman Hospital
- Atrium Health University City
- Novant Health Presbyterian Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 247736 | NC | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Carolinas Radiation Therapy LLC | Current | Accepting new patients | |
| Radiation Oncology Centers of the Carolinas, Inc. | Radiation Oncology | Current | Accepting new patients |
| Southeast Radiation Oncology Group, P.a. | Radiation Oncology | Current | Accepting new patients |
| Piedmont Carolinas Radiation Therapy LLC | Current | Accepting new patients | |
| Radiation Oncology Centers of the Carolinas, Inc. | Radiation Oncology | Current | 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
- 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.
-
- Radiation Oncology Physician
- Mooresville, NC
- NPI 1023055365
-
- Radiation Oncology Physician
- Charlotte, NC
- NPI 1568400109
-
- Radiation Oncology Clinic/Center
- Lancaster, SC
- NPI 1538485578
-
- Radiation Oncology Physician
- Matthews, NC
- NPI 1710924162
-
- Radiation Oncology Clinic/Center
- Rock Hill, SC
- NPI 1366553034
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mooresville, NC
- NPI 1114731064
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1346297892
-
- General Acute Care Hospital
- Concord, NC
- NPI 1487866315
-
- Psychiatric Hospital Unit
- Concord, NC
- NPI 1629283866
-
- General Acute Care Hospital
- Huntersville, NC
- NPI 1346291309
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.