Individual provider Active NPI

Scott Michael Wilhelmus, M.D.

  • Dermatology Physician
  • Jasper, IN
National Provider Identifier
1346246527
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
01042083A Issued in IN
Practice address
3404 Newton St
Jasper, IN 47546-1020
Phone
(812) 556-5084
Fax
(812) 556-5086
NPI assigned
Jun 22, 2005
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 01042083A IN Primary
Procedural Dermatology Physician 207NS0135X 01042083A IN

Addresses

Primary practice location

3404 Newton St
Jasper, IN 47546-1020

Mailing address

310 W 6TH St
Jasper, IN 47546-2718
Phone (812) 996-0337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040920000872 IN Practitioner - Dermatology 3375511173 Practice locations: Jasper, IN

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Indiana University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

310 W 6TH St
Jasper, IN 47546-2718
Phone (812) 333-0398

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision179
Removal of tissue1-10
Removal of skin lesions4516
Removal of nail tissue1-10
Removal or shaving of skin growth123
Skin biopsy305

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01042083AINMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomington Dermatology Clinic Dermatology 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1346246527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W 6TH ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462718",
            "telephone_number": "812-996-0337",
            "fax_number": "812-996-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 NEWTON ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475461020",
            "telephone_number": "812-556-5084",
            "fax_number": "812-556-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHELMUS",
        "first_name": "SCOTT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01042083A",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IN",
            "license": "01042083A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

Verify at the official NPI Registry.