Individual provider Active NPI

Wilson Prakash Pais, MD

  • Gastroenterology Physician
  • Sikeston, MO
National Provider Identifier
1407982200
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2007012297 Issued in MO
Practice address
1106 N Main St
Sikeston, MO 63801-5046
Phone
(573) 621-4935
Fax
(573) 258-8477
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 2007012297 MO Primary

Addresses

Primary practice location

1106 N Main St
Sikeston, MO 63801-5046

Mailing address

1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600

Other practice location 1

1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600

Other practice location 2

23 Doctors Park
Cape Girardeau, MO 63703-4927
Phone (573) 332-0700

Other identifiers 3

IdentifierTypeStateIssuer
493716OtherMOCOVENTRY
1407982200OtherILIL MCD
1407982200MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MUDOCREFERRAL@direct.health.missouri.edu Direct Curators of the University of Missouri

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20070713000046 MO Practitioner - Gastroenterology 5991805400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Missouri Delta Medical CenterGroup PAC ID 1355252891, 134 clinicians

Practice addresses (Care Compare)

1106 N Main St
Missouri Delta Urology
Sikeston, MO 63801-5046
Phone (573) 471-8656

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy149
Upper gastrointestinal (GI) endoscopy for acid reflux239

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers Current Accepting new patients
Missouri Delta Medical Center CurrentSince May 23, 2024 Accepting new patients
Hannibal Regional Healthcare System, Inc CurrentSince Jan 20, 2025 Accepting new patients
Missouri Delta Medical Center CurrentSince May 23, 2024 Accepting new patients
Hannibal Regional Healthcare System Inc CurrentSince Jan 20, 2025 Accepting new patients

Locations

28 S Mount Auburn Rd
Cape Girardeau, MO 63703
Phone (573) 331-3350

6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400

1106 N Main St
Sikeston, MO 63801
Phone (573) 471-8656

135 Plaza Dr
Ste 102
Sikeston, MO 63801
Phone (573) 264-2273

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

3800 S National Ave
Ste 400
Springfield, MO 65807
Phone (417) 269-9482

Interoperability endpoints

  • Direct secure messaging: wilsonpais@hrmg.allscriptsdirect.net
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

Organizations & group practices 5

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1407982200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015044",
            "telephone_number": "573-471-1600",
            "fax_number": "573-258-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 N MAIN ST",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015046",
            "telephone_number": "573-621-4935",
            "fax_number": "573-258-8477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1008 N Main St",
            "address_purpose": "LOCATION",
            "city": "Sikeston",
            "state": "MO",
            "postal_code": "638015044",
            "country_code": "US",
            "telephone_number": "573-471-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23 Doctors Park",
            "address_purpose": "LOCATION",
            "city": "Cape Girardeau",
            "state": "MO",
            "postal_code": "637034927",
            "country_code": "US",
            "telephone_number": "573-332-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAIS",
        "first_name": "WILSON",
        "middle_name": "PRAKASH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "2007012297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "493716",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL MCD",
            "identifier": "1407982200",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407982200",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
            "affiliation": "Y",
            "endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals",
            "affiliationName": "Curators of the University of Missouri",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "One Hospital Dr",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652120001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sikeston, MO

Sources for this page

Verify at the official NPI Registry.