Daniel Joseph Wiltz, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

023274 Issued in LA

Practice address

1117 N Main St
Suite B
Saint Martinville, LA 70582-3513

Phone

(337) 394-7111

Fax

(337) 394-8105

NPI assigned

Jul 20, 2006

Last updated

Feb 10, 2019By the provider in NPPES

Sex

Male

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

Enrolled in LA

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

Specialty

Family Practice

Education

Michigan State University College of Human Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Healthcare Clinic, Apmc

  • Primary Care Clinic/Center
  • Saint Martinville, LA
  • NPI 1437341278
  Medicare reassignment Authorized official
• Elizabeth Champagne, LLC

  • Registered Dietitian
  • Lafayette, LA
  • NPI 1841605755
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549756800000",
    "number": "1184644254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 COACHMAN DR",
            "address_2": "J",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925239",
            "telephone_number": "337-839-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 N MAIN ST",
            "address_2": "SUITE B",
            "city": "SAINT MARTINVILLE",
            "state": "LA",
            "postal_code": "705823513",
            "telephone_number": "337-394-7111",
            "fax_number": "337-394-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTZ",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2019-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "023274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1493465",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Arc of St. Martin, Inc.
• Sheremie Ann Thibodeaux
• Thrifty Way Pharmacy of St. Martinville
• Thrifty Way Pharmacy of St. Martinville
• Jason Valls, MD
• Tonya Wiltz

• Family Medicine Physician in Saint Martinville, LA
• Providers in Saint Martinville, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.

Verify at the official NPI Registry.