Karry Ruedebusch Wilkes, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35.092220 Issued in OH

Practice address

3666 Paxton Ave
Cincinnati, OH 45208-1568

Phone

(513) 871-0684

Fax

(513) 871-0705

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Karry R. Wilkes, M.D.,LLC

  • Pediatrics Physician
  • Cincinnati, OH
  • NPI 1174128615
  NPD

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1174611974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3666 PAXTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452081568",
            "telephone_number": "513-871-0684",
            "fax_number": "513-871-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3666 PAXTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452081568",
            "telephone_number": "513-871-0684",
            "fax_number": "513-871-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKES",
        "first_name": "KARRY",
        "middle_name": "RUEDEBUSCH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.092220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO STATE LICENSE",
            "identifier": "35.092220",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marzelle Wilkerson, BS, QMHS/CMS
• Nicole Wilkerson
• Patrick Lewis Wilkerson, MD
• William Wilkerson, LSW
• Claire Elizabeth Wilkes, CNP
• Melissa Wilkes, APRN CNP
• Ronald W Wilkes, DDS
• Stephen Alexander Wilkes, M.D.
• Trevor W Wilkes, M.D.
• Emma Jane Wilkie

• Pediatrics Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.