Individual provider Active NPI

David E Wilmot, M.D.

  • Family Medicine Physician
  • Brownsburg, IN
National Provider Identifier
1194710145
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01038693A Issued in IN
Practice address
1411 S Green St
Suite 130
Brownsburg, IN 46112-2049
Phone
(317) 858-4610
Fax
(317) 858-4620
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01038693A IN Primary

Addresses

Primary practice location

1411 S Green St
Suite 130
Brownsburg, IN 46112-2049

Mailing address

7393 Windridge Way
Brownsburg, IN 46112-8801
Phone (317) 408-3056

Other identifiers 1

IdentifierTypeStateIssuer
100134200AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20061027000397 IN Practitioner - Family Practice 1052318490 Practice locations: Brownsburg, IN; Avon, IN

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virtualmed Nexus CurrentSince May 7, 2024 Accepting new patients
Hendricks County Hospital Past Accepting new patients
David E. Wilmot, MD Family Medicine PastSince Nov 5, 2013 Accepting new patients
Hendricks County Hospital Family Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1194710145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7393 WINDRIDGE WAY",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461128801",
            "telephone_number": "317-408-3056",
            "fax_number": "317-203-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 S GREEN ST",
            "address_2": "SUITE 130",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461122049",
            "telephone_number": "317-858-4610",
            "fax_number": "317-858-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILMOT",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01038693A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100134200A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsburg, IN

Sources for this page

Verify at the official NPI Registry.