James R Wilde, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4753 Issued in SD

Practice address

1115 E 20TH St
Sioux Falls, SD 57105-1013

Phone

(605) 575-1616

Fax

(605) 367-7157

NPI assigned

Feb 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

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

Merit-based Incentive Payment System (MIPS)

Final score

95.9 of 100Reported as group

Quality

96.46

Promoting interoperability

99

Improvement activities

40

Cost

75.53

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• City of Sioux Falls

  • Federally Qualified Health Center (FQHC)
  • Sioux Falls, SD
  • NPI 1932295888
  Medicare reassignment NPD
• City of Sioux Falls

  • Federally Qualified Health Center (FQHC)
  • Sioux Falls, SD
  • NPI 1508103243
  NPD
• City of Sioux Falls

  • Federally Qualified Health Center (FQHC)
  • Sioux Falls, SD
  • NPI 1609025907
  NPD
• Sioux Falls Treatment Center, LLC

  • Methadone Clinic
  • Sioux Falls, SD
  • NPI 1861788143
  NPD

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1467424291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 E 20TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051013",
            "telephone_number": "605-575-1616",
            "fax_number": "605-367-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 E 20TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571051013",
            "telephone_number": "605-575-1616",
            "fax_number": "605-367-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDE",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "4753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5601380",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyson Wiggers, CSW-PIP, QMHP
• Ashley Jean Wilcox, CSW-PIP
• Kelsi Wilcox, CSW-PIP
• Melissa Ann Wilcoxon, RDN, LN
• Wild Within, PLLC
• Michael C Wilde, M.D.
• Kelsey Eileen Wildfeuer, CNM
• Russell A Wilke, MD
• Richard M. Wilkins, CRNA
• Crystal Lynnann Wilkinson, MSW. CSW, PIP

• Family Medicine Physician in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Family Medicine Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.