Individual provider Active NPI

Louis J Wilson, MD

  • Gastroenterology Physician
  • Wichita Falls, TX
National Provider Identifier
1477516938
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
K3534 Issued in TX
Practice address
1104 Brook Avenue
Wichita Falls, TX 76301-5049
Phone
(940) 687-6870
Fax
(940) 687-6871
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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 K3534 TX Primary

Addresses

Primary practice location

1104 Brook Avenue
Wichita Falls, TX 76301-5049

Mailing address

1104 Brook Avenue
Wichita Falls, TX 76301-5049
Phone (940) 687-6870

Other identifiers 1

IdentifierTypeStateIssuer
029658401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20060531000113 TX Practitioner - Gastroenterology 2769419076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Texas Southwestern Medical School at Dallas, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wichita Falls Gastroenterology AssociatesGroup PAC ID 4183635899, 9 clinicians

Practice addresses (Care Compare)

1104 Brook Ave
Wichita Falls, TX 76301-5049
Phone (940) 687-6870

Hospital & facility affiliations

  • United Regional Health Care System Hospital, Wichita Falls, TX, CCN 450010

Merit-based Incentive Payment System (MIPS)

Final score
25.59 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
85.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy202
Upper gastrointestinal (GI) endoscopy for acid reflux249

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K3534TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wichita Falls Gastroenterology Associates Gastroenterology CurrentSince May 1, 2006 Accepting new patients
United Regional Health Care System Inc Current Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1100 Brook Ave
Wichita Falls, TX 76301
Phone (940) 761-1201

1104 Brook Ave
Wichita Falls, TX 76301
Phone (940) 687-6870

Interoperability endpoints

  • Direct secure messaging: lwilson15017@unitedregional.medalliesdirect.net
  • Direct secure messaging: lwilson@wfga-tx.direct.office.nextgen.com
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 3

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 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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1477516938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 BROOK AVENUE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015049",
            "telephone_number": "940-687-6870",
            "fax_number": "940-687-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 BROOK AVENUE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015049",
            "telephone_number": "940-687-6870",
            "fax_number": "940-687-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LOUIS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "K3534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029658401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.