Individual provider Active NPI

Philip Kickliter Wiles, MD

  • Surgery Physician
  • Huntsville, AL
National Provider Identifier
1275651077
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD.30722 Issued in AL
Practice address
910 Adams St SE Ste 130
Huntsville, AL 35801-3751
Phone
(256) 265-4560
Fax
(256) 265-4565
NPI assigned
Mar 27, 2007
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD.30722 AL Primary

Addresses

Primary practice location

910 Adams St SE Ste 130
Huntsville, AL 35801-3751

Mailing address

910 Adams St SE Ste 130
Huntsville, AL 35801-3751
Phone (256) 265-4560

Other identifiers 1

IdentifierTypeStateIssuer
158112000MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20110719000846 AL Practitioner - General Surgery 2567558968 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Alabama School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HH Physicians NetworkGroup PAC ID 6901132448, 107 clinicians

Practice addresses (Care Compare)

910 Adams St SE
Suite 100
Huntsville, AL 35801-3751
Phone (256) 265-0880

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.30722ALMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
General Surgery Associates Surgery CurrentSince Jul 15, 2011 Accepting new patients
HH Physicians Network CurrentSince Jul 1, 2025 Accepting new patients

Locations

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

245 Governors Dr SE
Huntsville, AL 35801
Phone (256) 265-7673

4704 Whitesburg Dr SW
Ste 200
Huntsville, AL 35802
Phone (256) 327-5005

910 Adams St SE
Ste 100
Huntsville, AL 35801
Phone (256) 265-0880

910 Adams St SE
Ste 130
Huntsville, AL 35801
Phone (256) 265-4560

1041 Balch Rd
Ste 350
Madison, AL 35758
Phone (256) 265-5951

20 Hughes Rd
Ste 201
Madison, AL 35758
Phone (256) 461-8702

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1275651077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 ADAMS ST SE STE 130",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013751",
            "telephone_number": "256-265-4560",
            "fax_number": "256-265-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 ADAMS ST SE STE 130",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013751",
            "telephone_number": "256-265-4560",
            "fax_number": "256-265-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILES",
        "first_name": "PHILIP",
        "middle_name": "KICKLITER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "MD.30722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158112000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.