Individual provider Active NPI

Mary Suna Wilkerson, MD

  • Internal Medicine Physician
  • Galveston, TX
National Provider Identifier
1205493319
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T6081 Issued in TX
Practice address
301 University Blvd
Galveston, TX 77555-5302
Phone
(409) 747-1883
Fax
(409) 747-8579
NPI assigned
May 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X T6081 TX Primary
Internal Medicine Physician 207R00000X BP10067734 TX

Addresses

Primary practice location

301 University Blvd
Galveston, TX 77555-5302

Mailing address

301 University Blvd
Galveston, TX 77555-0570
Phone (409) 772-2653

Other practice location 1

9850C Emmett F Lowry Expy Ste C-103
Texas City, TX 77591-2122
Phone (409) 938-2234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220706001882 TX Practitioner - Internal Medicine 1557695038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical Branch at Galveston, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians
Coastal Health and WellnessGroup PAC ID 0143215954, 12 clinicians

Practice addresses (Care Compare)

301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-2222

4700 Broadway St
Suite 100
Galveston, TX 77551-4241
Phone (409) 938-2234

9850 C Emmett F Lowry Expy
Suite C103
Texas City, TX 77591-2122
Phone (409) 938-2234

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10067734TXMDInternal Medicine Physician
T6081TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Health & Wellness CurrentSince Jul 1, 2022 Accepting new patients
Utmb Faculty Group Practice Internal Medicine CurrentSince Jun 23, 2022 Accepting new patients
Coastal Health & Wellness Current Accepting new patients
Coastal Health & Wellness CurrentSince Jul 1, 2022 Accepting new patients

Locations

4700 Broadway St
Ste 100
Galveston, TX 77551
Phone (409) 763-7204

4700 Broadway St
Ste F100
Galveston, TX 77551
Phone (409) 763-7273

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

9850 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-2230

1805 13th Ave N
Texas City, TX 77590
Phone (409) 916-0512

9850 Emmett F Lowry Expy
Ste C103
Texas City, TX 77591
Phone (409) 938-2234

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mwilkerson32273@direct.utmb.edu

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.

Hospital & facility affiliations 1

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": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1205493319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550570",
            "telephone_number": "409-772-2653",
            "fax_number": "409-772-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775555302",
            "telephone_number": "409-747-1883",
            "fax_number": "409-747-8579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9850C Emmett F Lowry Expy Ste C-103",
            "address_purpose": "LOCATION",
            "city": "Texas City",
            "state": "TX",
            "postal_code": "775912122",
            "country_code": "US",
            "telephone_number": "409-938-2234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "MARY",
        "middle_name": "SUNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T6081",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10067734",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.