Active NPI
Caroline S Wilkel, M.D.
- Dermatology Physician
- Fall River, MA
National Provider Identifier
1215917299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- RI7229
- Practice address
- 1822 N Main St Ste 302
Fall River, MA 02720-1350 - Phone
- (508) 235-1118
- Fax
- (508) 235-1119
- NPI assigned
- Jan 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | 209200 | MA | |
| Dermatology Physician | 207N00000X | RI7229 | RI | Primary |
Addresses
Primary practice location
1822 N Main St Ste 302
Fall River, MA 02720-1350
Mailing address
1822 North Main Street
Suite 302
Fall River, MA 02720
Phone (508) 235-1118
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202353 | Other | RI | BLUE CHIP |
| WE34797 | Medicaid | RI | |
| 070015999 | Other | RI | RAILROAD MEDICARE |
| 0505152393002 | Other | RI | UNITED HEALTHCARE |
| 21994-1 | Other | RI | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RI7229 | RI | MD | Dermatology Physician |
| 209200 | MA | MD | Dermatopathology (Pathology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New England Tissue Issue, PLLC | Dermatopathology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Medical Laboratory
- Fall River, MA
- NPI 1255649828
Dermatopathology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1215917299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1822 NORTH MAIN STREET",
"address_2": "SUITE 302",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "02720",
"telephone_number": "508-235-1118",
"fax_number": "508-235-1119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1822 N MAIN ST STE 302",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027201350",
"telephone_number": "508-235-1118",
"fax_number": "508-235-1119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKEL",
"first_name": "CAROLINE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "MA",
"license": "209200",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "RI",
"license": "RI7229",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "202353",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "WE34797",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "070015999",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0505152393002",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "21994-1",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.