Active NPI
Susan M Wilkinson, M.D.
- Infectious Disease Physician
- Omaha, NE
National Provider Identifier
1326068552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 22669
- Practice address
- 13315 W Center Rd
Omaha, NE 68144-3449 - Phone
- (402) 717-9400
- NPI assigned
- Jul 20, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 22669 | NE | Primary |
Addresses
Primary practice location
13315 W Center Rd
Omaha, NE 68144-3449
Mailing address
PO Box 642117
Omaha, NE 68164-8117
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1110536 | Medicaid | IA | |
| 90939 | Other | IA | BCBS |
| 01713 | Other | NE | BCBS |
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 |
|---|---|---|---|
| 22669 | NE | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infectious Disease Associates PC | Infectious Disease | Past | Accepting new patients |
| Alegent Creighton Clinic | Family Medicine | Past | Accepting new patients |
| Alegent Creighton Clinic | Family Medicine | Past | Accepting new patients |
| Infectious Diseases Associates PC | Infectious Disease | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/49ec4064-7609-4f62-b5e6-20a05e00549b/
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Omaha, NE
- NPI 1548287907
-
- Infectious Disease Physician
- Omaha, NE
- NPI 1164448510
-
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
-
- Infectious Disease Physician
- Council Bluffs, IA
- NPI 1093865537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355702400000",
"number": "1326068552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 642117",
"city": "OMAHA",
"state": "NE",
"postal_code": "681648117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13315 W CENTER RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681443449",
"telephone_number": "402-717-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINSON",
"first_name": "SUSAN",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2012-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NE",
"license": "22669",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1110536",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "90939",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01713",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.