Individual provider Active NPI

Andrew Carver Wilkins, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Richardson, TX
National Provider Identifier
1275760423
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
Q1329 Issued in TX
Practice address
3661 N Plano Rd
Richardson, TX 75082-2029
Phone
(817) 442-9300
NPI assigned
Jun 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Q1329 TX Primary

Addresses

Primary practice location

3661 N Plano Rd
Richardson, TX 75082-2029

Mailing address

3661 N Plano Rd
Richardson, TX 75082-2029
Phone (817) 442-9300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stt@116.direct.myezyaccess.com Health Information Exchange (HIE)

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
I20141121002278 TX Practitioner - Physical Medicine and Rehabilitation 2163744475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Back CareGroup PAC ID 1951604313, 50 clinicians

Practice addresses (Care Compare)

3142 Horizon Rd
Suite 100
Rockwall, TX 75032-7815
Phone (817) 442-9300

Hospital & facility affiliations

  • The Home Health Team Home health agency, Richardson, TX, CCN 747573
  • Methodist Hospital for Surgery Hospital, Addison, TX, CCN 670073
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Merit-based Incentive Payment System (MIPS)

Final score
69.02 of 100Reported as individual
Quality
51.34
Promoting interoperability
92
Improvement activities
40
Cost
52.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q1329TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Back Care Physical Medicine & Rehabilitation CurrentSince Jan 1, 2016 Accepting new patients
Texas Health Back Care Physical Medicine & Rehabilitation CurrentSince Jan 1, 2016 Accepting new patients

Locations

1305 Airport Fwy
Ste 406
Bedford, TX 76021
Phone (817) 318-1414

1340 S Main St
Ste 100
Grapevine, TX 76051
Phone (682) 651-1908

6957 W Plano Pkwy
Ste 2500
Plano, TX 75093
Phone (214) 483-6933

3509 Spectrum Blvd
#B
Richardson, TX 75082
Phone (972) 772-9600

3661 N Plano Rd
Richardson, TX 75082
Phone (972) 981-4300

3661 N Plano Rd
Ste 2200
Richardson, TX 75082

3142 Horizon Rd
Ste 100
Rockwall, TX 75032
Phone (682) 651-1908

1545 E Southlake Blvd
Ste 100
Southlake, TX 76092

1545 E Southlake Blvd
Southlake, TX 76092
Phone (817) 557-8205

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.

Hospital & facility affiliations 3

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": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1275760423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 N PLANO RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822029",
            "telephone_number": "817-442-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 N PLANO RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822029",
            "telephone_number": "817-442-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "ANDREW",
        "middle_name": "CARVER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-15",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "Q1329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stt@116.direct.myezyaccess.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3661 N Plano Rd",
            "city": "Richardson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750822029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.