Individual provider Active NPI

Mark Allred Wilkins, M.D.

  • Anesthesiology Physician
  • Billings, MT
National Provider Identifier
1174904395
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
73206 Issued in MT
Practice address
2900 12TH Ave N Ste 205W
Billings, MT 59101-7520
Phone
(406) 254-0707
Fax
(406) 254-0709
NPI assigned
Jun 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 11018416A IN
Anesthesiology Physician 207L00000X 73206 MT Primary

Addresses

Primary practice location

2900 12TH Ave N Ste 205W
Billings, MT 59101-7520

Mailing address

1120 W Michigan St
CL 626
Indianapolis, IN 46202-5209
Phone (317) 278-2689

Other practice location 1

1120 W Michigan St
CL 626
Indianapolis, IN 46202-5209
Phone (317) 278-2689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20200708001262 CO Practitioner - Anesthesiology 8123339686 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Indiana University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Consultants of Western Colorado, PLLCGroup PAC ID 8921995754, 28 clinicians
Community Anesthesia Consultants PLLCGroup PAC ID 9436229895, 11 clinicians

Practice addresses (Care Compare)

2635 N 7TH St
Grand Junction, CO 81501-8209
Phone (970) 298-2273

2754 Compass Dr
Suite 170
Grand Junction, CO 81506-8739
Phone (970) 254-1686

Hospital & facility affiliations

  • Intermountain Health St. Mary'S Regional Hospital Hospital, Grand Junction, CO, CCN 060023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11018416AINMDAnesthesiology Physician
73206MTMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Anesthesia Consultants PLLC Anesthesiology CurrentSince Jun 1, 2020 Accepting new patients
Anesthesia Consultants of Western Colorado, PLLC Anesthesiology CurrentSince Aug 28, 2023 Accepting new patients

Locations

1120 Wellington Ave
Ste 206
Grand Junction, CO 81501
Phone (970) 243-7245

2754 Compass Dr
Ste 170
Grand Junction, CO 81506

2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009

Organizations & group practices 2

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": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1174904395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W MICHIGAN ST",
            "address_2": "CL 626",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025209",
            "telephone_number": "317-278-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 12TH AVE N STE 205W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591017520",
            "telephone_number": "406-254-0707",
            "fax_number": "406-254-0709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 W Michigan St",
            "address_2": "CL 626",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025209",
            "country_code": "US",
            "telephone_number": "317-278-2689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "MARK",
        "middle_name": "ALLRED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-12",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "11018416A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MT",
            "license": "73206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.