Adrian Kenneth Wyllie, M.D

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

56766 Issued in CT

Practice address

4 Research Pkwy
Wallingford, CT 06492-1929

Phone

(203) 598-6045

Fax

(203) 879-0834

NPI assigned

May 8, 2015

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

General Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Wound Care LLCGroup PAC ID 8729445580, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elara Caring Home health agency, Rocky Hill, CT, CCN 077163
• Masonicare Home Health & Hospice, Inc Home health agency, Wallingford, CT, CCN 077159
• Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041
• Masters in Home Care, LLC Home health agency, Rocky Hill, CT, CCN 077264

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

95

Improvement activities

40

Cost

77.11

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: awyllie@direct-address.org

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.

• Complete Wound Care LLC

  • General Practice Physician
  • Wallingford, CT
  • NPI 1033801568

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Pulmonary Care, PC

  • Pulmonary Disease Physician
  • New Haven, CT
  • NPI 1215144100

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hartford Healthcare at Home, Inc

  • Home Health Agency
  • Wethersfield, CT
  • NPI 1073529566
  Care Compare affiliation
• Masonicare Home Health and Hospice, Inc.

  • Home Health Agency
  • Wallingford, CT
  • NPI 1710976220
  Care Compare affiliation
• Masters in Home Care, LLC

  • Home Health Agency
  • Rocky Hill, CT
  • NPI 1679901953
  Care Compare affiliation
• New England Home Care Inc.

  dba Elara Caring

  • Home Health Agency
  • Rocky Hill, CT
  • NPI 1255333597
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407234685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RESEARCH PKWY",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921929",
            "telephone_number": "203-598-6045",
            "fax_number": "203-879-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 RESEARCH PKWY",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921929",
            "telephone_number": "203-598-6045",
            "fax_number": "203-879-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYLLIE",
        "first_name": "ADRIAN",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CT",
            "license": "56766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Blake Wolcheski, OTR L
• Megan Rianne Wolf, MD
• Wolfy Dental Group LLC
• Megan Woodruff, A-GNP-C
• David Wu
• Yale University
• Alice Yunning Yang, DMD
• Sindy Yang
• Christopher Michael Yardan, DPM
• Sadia Yaseen, BCBA

• General Practice Physician in Wallingford, CT
• Providers in Wallingford, CT by specialty
• General Practice Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.