Individual provider Active NPI

Katie Erin Wilkinson, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Newport Beach, CA
National Provider Identifier
1508064387
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A100684 Issued in CA
Practice address
2901 W Coast Hwy Ste 200
Newport Beach, CA 92663-4045
Phone
(949) 981-1297
Fax
(949) 258-4354
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A100684 CA Primary

Addresses

Primary practice location

2901 W Coast Hwy Ste 200
Newport Beach, CA 92663-4045

Mailing address

2901 W Coast Hwy Ste 200
Newport Beach, CA 92663-4045
Phone (949) 891-1297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20220815000759 CA Practitioner - Pathology 2860636941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newport Harbor Pathology Medical Group IncGroup PAC ID 1456312396, 27 clinicians

Practice addresses (Care Compare)

1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 891-1297

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Hoag Orthopedic Institute Hospital, Irvine, CA, CCN 050769

Merit-based Incentive Payment System (MIPS)

Final score
74.5 of 100Reported as group
Quality
70
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A100684CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Harbor Pathology Medical Group Inc Anatomic Pathology & Clinical Pathology CurrentSince Aug 8, 2022 Accepting new patients
Newport Harbor Pathology Medical Group Inc CurrentSince Aug 8, 2022 Accepting new patients

Locations

16250 Sand Canyon Ave
Irvine, CA 92618
Phone (855) 999-4641

16200 Sand Canyon Ave
Irvine, CA 92618
Phone (949) 753-2000

15375 Barranca Pkwy
Ste F101
Irvine, CA 92618
Phone (949) 264-8904

2901 W Coast Hwy
Ste 200
Newport Beach, CA 92663
Phone (949) 891-1297

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1508064387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 W COAST HWY STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634045",
            "telephone_number": "949-891-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 W COAST HWY STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634045",
            "telephone_number": "949-981-1297",
            "fax_number": "949-258-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "KATIE",
        "middle_name": "ERIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A100684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.