Mark W. Wilson, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G74073 Issued in CA

Practice address

1001 Potrero Avenue
SFGH Department of Radiology, Room 1X57
San Francisco, CA 94110-2204

Phone

(415) 353-1300

Fax

(415) 353-8570

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Diagnostic Radiology

Education

University of Michigan Medical School, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of California SFGH Medical GroupGroup PAC ID 5496668410, 566 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Zuckerberg San Francisco General Hosp & Trauma Ctr Hospital, San Francisco, CA, CCN 050228

Merit-based Incentive Payment System (MIPS)

Final score

97.28 of 100Reported as group

Quality

89.92

Promoting interoperability

100

Improvement activities

40

Cost

78.23

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• University of California SFGH Medical Group

  dba UCSF SFGH Medical Group Dept of Radiology

  • Diagnostic Radiology Physician
  • San Francisco, CA
  • NPI 1063487122
  Medicare reassignment Care Compare group
• City & County of San Francisco

  dba San Francisco Public Health Laboratory

  • Clinical Medical Laboratory
  • San Francisco, CA
  • NPI 1982737524
  Medicare reassignment NPD
• UCSF Medical Group Business Services

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1477624104
  Medicare reassignment NPD
• City & County of San Francisco

  dba Laguna Honda Medical Group

  • Geriatric Medicine (Family Medicine) Physician
  • San Francisco, CA
  • NPI 1265460190
  NPD
• City and County of San Francisco

  dba DSAAM OTOP Methadone Maintenance

  • Methadone Clinic
  • San Francisco, CA
  • NPI 1578787925
  NPD
• UCSF Medical Group Business Services

  dba UCSF Orthotic and Prosthetic Center - Gateway Medical Building

  • Health Service Clinic/Center
  • San Francisco, CA
  • NPI 1194115246
  NPD
• UCSF Interventional Radiology

  • Radiation Oncology Physician
  • San Francisco, CA
  • NPI 1770650921
  NPD (past)
• University of California San Francisco Medical Center

  dba UCSF Medical Center

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1144325440
  NPD (past)
• University of California San Francisco Medical Center

  dba UCSF Medical Center

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1184728701
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• City & County of San Francisco

  dba Zuckerberg San Francisco General Hospital and Trauma Center- Acute

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1083648810
  Care Compare affiliation
• City & County of San Francisco

  dba Zuckerberg San Francisco General Hospital and Trauma Center - Acute

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1164609962
  Care Compare affiliation

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1184666091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BURNETT AVENUE NORTH",
            "address_2": "APT. #1",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94131",
            "telephone_number": "415-642-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVENUE",
            "address_2": "SFGH DEPARTMENT OF RADIOLOGY, ROOM 1X57",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102204",
            "telephone_number": "415-353-1300",
            "fax_number": "415-353-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MARK",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G74073",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "G74073",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G740730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Wilson, MD
• Jessica Wilson, FNP-BC
• Loretta Katherine Wilson, PMHNP
• Madison Wilson
• Margaret O'Hara Wilson, PH.D.
• Matthew Wilson, M. ED.
• Melissa Gaines Wilson, CPNP-AC
• Melissa Sue Wilson
• Michael Robert Wilson, M.D.
• Nicolle Danielle Wilson, MS CCC-SLP

• Diagnostic Radiology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.