Active NPI
Robert Wilcox Wilson, D.O.
- Pediatrics Physician
- Naples, FL
National Provider Identifier
1427018134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0019196
- Practice address
- 2940 Immokalee Rd
Suite 2
Naples, FL 34110-1409 - Phone
- (239) 598-5750
- Fax
- (239) 593-1989
- NPI assigned
- Mar 25, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0019196 | FL | Primary |
Addresses
Primary practice location
2940 Immokalee Rd
Suite 2
Naples, FL 34110-1409
Mailing address
2940 Immokalee Rd
Suite 2
Naples, FL 34110-1409
Phone (239) 598-5750
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1600215 | Other | FL | FIRST SERVICE ADMIN INC. |
| 80609 | Other | FL | BLUE CROSS AND BLUE SHIEL |
| 0005301078 | Other | FL | AETNA |
| 202096 | Other | FL | STAYWELL HEALTHY KIDS |
| 435695 | Other | FL | GREAT WEST |
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0019196 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sobia Najm Masoud MD.PA. | Pediatrics | Past | Accepting new patients |
| Robert W. Wilson, D.O., P.a. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Adolescent Medicine Physician
- Naples, FL
- NPI 1841415932
-
dba Beachside Pediatrics of Naples
- Pediatrics Physician
- Naples, FL
- NPI 1457927543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1427018134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 IMMOKALEE RD",
"address_2": "SUITE 2",
"city": "NAPLES",
"state": "FL",
"postal_code": "341101409",
"telephone_number": "239-598-5750",
"fax_number": "239-593-1989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 IMMOKALEE RD",
"address_2": "SUITE 2",
"city": "NAPLES",
"state": "FL",
"postal_code": "341101409",
"telephone_number": "239-598-5750",
"fax_number": "239-593-1989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ROBERT",
"middle_name": "WILCOX",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0019196",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST SERVICE ADMIN INC.",
"identifier": "1600215",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "80609",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005301078",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STAYWELL HEALTHY KIDS",
"identifier": "202096",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "435695",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.