Individual provider Active NPI

Stephen R. Wilt, M.D., PH.D.

  • Radiation Oncology Physician
  • Lafayette, LA
National Provider Identifier
1528082443
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
10351R Issued in LA
Practice address
4809 Ambassador Caffery Pkwy
Suite 100
Lafayette, LA 70508-8800
Phone
(337) 769-8660
Fax
(337) 769-8661
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 10351R LA Primary

Addresses

Primary practice location

4809 Ambassador Caffery Pkwy
Suite 100
Lafayette, LA 70508-8800

Mailing address

4809 Ambassador Caffery Pkwy
Ste 100
Lafayette, LA 70508-8800
Phone (337) 769-8660

Other identifiers 5

IdentifierTypeStateIssuer
10351ROtherLASTATE MEDICAL LICENSE
1986739MedicaidLA
PTAN 381631ZLACOtherLALINKED TO GROUP PTAN 381439 EFFECTIVE 10-31-14
5DX68OtherLAONCOLOGICS LLC GROUP PTAN MEDICARE EFFECTIVE 05/19/2012
5U307DX68OtherLASTEPHEN WILT PTAN MEDICARE EFFECTIVE 05/19/2012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20041215000001 LA Practitioner - Radiation Oncology 0446217178 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Medical College of Ohio, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiation Oncology Associates of Acadiana LLPGroup PAC ID 4880975747, 6 clinicians
E Plus Oncologics Louisiana, LLCGroup PAC ID 5496918278, 5 clinicians
Acadiana Radiation Therapy LLCGroup PAC ID 1759604853, 6 clinicians

Practice addresses (Care Compare)

3975 I 49 S Service Rd
Suite 106
Opelousas, LA 70570-0775
Phone (337) 942-7609

4809 Ambassador Caffery Pkwy
Suite 100
Lafayette, LA 70508-8800
Phone (337) 769-8660

525 N Lewis St
New Iberia, LA 70563-2015
Phone (337) 364-1131

Hospital & facility affiliations

  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
  • Opelousas General Health System Hospital, Opelousas, LA, CCN 190017
  • Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102
  • Ochsner University Hospital and Clinics Hospital, Lafayette, LA, CCN 190006

Merit-based Incentive Payment System (MIPS)

Final score
93.97 of 100Reported as individual
Quality
87.95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10351RLAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lsuhn Billing LLC CurrentSince Apr 28, 2008 Accepting new patients
Radiation Oncology Associates of Acadiana, LLP Radiation Oncology CurrentSince Oct 2, 2014 Accepting new patients
Lsuhn Billing LLC CurrentSince Apr 28, 2008 Accepting new patients
E Plus Oncologics Louisiana LLC Radiation Oncology CurrentSince Apr 30, 2012 Accepting new patients
Acadiana Radiation Therapy LLC Radiation Oncology CurrentSince Oct 31, 2014 Accepting new patients
Oncologics, Inc. Radiation Oncology PastSince Jan 1, 2017 Accepting new patients

Locations

155 Hospital Dr
Ste 102
Lafayette, LA 70503
Phone (337) 289-8067

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

917 General Mouton Ave
#A
Lafayette, LA 70501
Phone (337) 237-2057

917 General Mouton Ave
Lafayette, LA 70501
Phone (318) 237-2057

4809 Ambassador Caffery Pkwy
Ste 100
Lafayette, LA 70508
Phone (318) 237-2057

4809 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 981-2949

525 N Lewis St
New Iberia, LA 70563
Phone (337) 364-1131

3975 I 49 S Service Rd
Ste 106
Opelousas, LA 70570
Phone (337) 942-7609

Interoperability endpoints

  • Direct secure messaging: swilt@epluscancercare.direct.varian.com
  • Direct secure messaging: swilt@ionetwork.direct.varian.com

Organizations & group practices 6

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 4

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1528082443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 AMBASSADOR CAFFERY PKWY",
            "address_2": "STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088800",
            "telephone_number": "337-769-8660",
            "fax_number": "337-769-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088800",
            "telephone_number": "337-769-8660",
            "fax_number": "337-769-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILT",
        "first_name": "STEPHEN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "LA",
            "license": "10351R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "10351R",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1986739",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LINKED TO GROUP PTAN 381439 EFFECTIVE 10-31-14",
            "identifier": "PTAN 381631ZLAC",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONCOLOGICS LLC GROUP PTAN MEDICARE EFFECTIVE 05/19/2012",
            "identifier": "5DX68",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STEPHEN WILT PTAN MEDICARE EFFECTIVE 05/19/2012",
            "identifier": "5U307DX68",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.