Cornelius A Wilson, M.D.

Primary specialty

Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X

License

J2845 Issued in TX

Practice address

12739 Woodforest Blvd Ste 2
Houston, TX 77015-2737

Phone

(713) 450-4455

Fax

(713) 450-4737

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

Specialty

Internal Medicine

Education

Rutgers New Jersey Medical School, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: cornelius.wilson.2@19598.direct.athenahealth.com
• Direct secure messaging: cornelius.wilson.1@19598.direct.athenahealth.com

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.

• East Houston Medicine & Pediatrics Clinic PA

  • Pediatrics Physician
  • Houston, TX
  • NPI 1083686091
  Medicare reassignment Authorized official
• Clarence R Higgins Jr MD & Assoc PA

  • Pediatrics Physician
  • Houston, TX
  • NPI 1376653139
  NPD (past) Authorized official

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1215032586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24308",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772294308",
            "telephone_number": "713-450-4455",
            "fax_number": "713-450-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12739 WOODFOREST BLVD STE 2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770152737",
            "telephone_number": "713-450-4455",
            "fax_number": "713-450-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CORNELIUS",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "TX",
            "license": "J2845",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J2845",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137938013",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GLOBAL",
            "identifier": "87622Z",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2242072",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8AJ396",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Wilson
• Camille Wilson
• Catherine Margaret Wilson, MD
• Chad Terrence Wilson, MD
• Christina Anna Louise Wilson
• Cory Wilson, MD, PHD
• Courtney Meredith Wilson
• Dafeionthay Wilson
• Danielle Frances Wilson, MD
• David Wilson, M.D.

• Adolescent Medicine (Internal Medicine) Physician in Houston, TX
• Providers in Houston, TX by specialty
• Adolescent Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.