Active NPI
Jonathan David Wilkerson, M.D.
- Nephrology Physician
- Paducah, KY
National Provider Identifier
1235326737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 43494
- Practice address
- 1532 Lone Oak Rd
Suite 315
Paducah, KY 42003-7913 - Phone
- (270) 538-5880
- Fax
- (287) 538-5870
- NPI assigned
- Sep 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 43494 | KY | Primary |
Addresses
Primary practice location
1532 Lone Oak Rd
Suite 315
Paducah, KY 42003-7913
Mailing address
1532 Lone Oak Rd
Suite 315
Paducah, KY 42003-7913
Phone (270) 538-5880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100165020 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of Louisville School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1532 Lone Oak Rd
Suite 315
Paducah, KY 42003-7942
Phone (270) 538-5880
20 Hospital Dr
Metropolis, IL 62960-2462
Phone (270) 538-5880
Hospital & facility affiliations
- FMC - of Metropolis
- Fresenius Kidney Care Willow Grove
- FMC - Trigg County
- FMC - South Paducah
- FMC - Kuttawa Dialysis
- Mercy Health - Lourdes Hospital
- Baptist Health Paducah
- Jackson Purchase Medical Center
- Marshall County Hospital
- Livingston Hospital and Healthcare Services, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.69 of 100
- Quality
- 87.4
- Improvement activities
- 40
- Cost
- 82.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43494 | KY | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney Specialists of Paducah PLLC | Nephrology | Current | Accepting new patients |
| Metropolis Dialysis Services, LLC | Past | Accepting new patients |
Locations
20 Hospital Dr
Metropolis, IL 62960
Phone (618) 524-3046
2484 Main St
Cadiz, KY 42211
Phone (270) 522-0170
1215 Johnson Blvd
Murray, KY 42071
Phone (270) 992-5000
300 S 8th St
Ste 282W
Murray, KY 42071
Phone (270) 522-0170
1532 Lone Oak Rd
Paducah, KY 42003
Phone (270) 442-3536
1532 Lone Oak Rd
Ste 315
Paducah, KY 42003
Phone (270) 522-0170
Organizations & group practices 2
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.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Metropolis, IL
- NPI 1255648267
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Kuttawa, KY
- NPI 1033279153
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Paducah, KY
- NPI 1366205031
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Cadiz, KY
- NPI 1407178825
Dialysis facility
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1730264128
-
- Critical Access Hospital
- Salem, KY
- NPI 1588640254
-
- Critical Access Hospital
- Benton, KY
- NPI 1568528594
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1346244126
-
- Rural Acute Care Hospital
- Mayfield, KY
- NPI 1891892741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506902400000",
"number": "1235326737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1532 LONE OAK RD",
"address_2": "SUITE 315",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420037913",
"telephone_number": "270-538-5880",
"fax_number": "287-538-5870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 LONE OAK RD",
"address_2": "SUITE 315",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420037913",
"telephone_number": "270-538-5880",
"fax_number": "287-538-5870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKERSON",
"first_name": "JONATHAN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-28",
"last_updated": "2017-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "KY",
"license": "43494",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100165020",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.