Active NPI
Stephen R. Wilt, M.D., PH.D.
- Radiation Oncology Physician
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 10351R
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10351R | Other | LA | STATE MEDICAL LICENSE |
| 1986739 | Medicaid | LA | |
| PTAN 381631ZLAC | Other | LA | LINKED TO GROUP PTAN 381439 EFFECTIVE 10-31-14 |
| 5DX68 | Other | LA | ONCOLOGICS LLC GROUP PTAN MEDICARE EFFECTIVE 05/19/2012 |
| 5U307DX68 | Other | LA | STEPHEN 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
Enrollment records 1
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
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
- Opelousas General Health System
- Our Lady of Lourdes Regional Medical Center, Inc
- Ochsner University Hospital and Clinics
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.97 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10351R | LA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lsuhn Billing LLC | Current | Accepting new patients | |
| Radiation Oncology Associates of Acadiana, LLP | Radiation Oncology | Current | Accepting new patients |
| Lsuhn Billing LLC | Current | Accepting new patients | |
| E Plus Oncologics Louisiana LLC | Radiation Oncology | Current | Accepting new patients |
| Acadiana Radiation Therapy LLC | Radiation Oncology | Current | Accepting new patients |
| Oncologics, Inc. | Radiation Oncology | Past | 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
- swilt@epluscancercare.direct.varian.com
- 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.
-
- Radiation Oncology Physician
- Lafayette, LA
- NPI 1659820777
-
- Radiation Oncology Physician
- New Iberia, LA
- NPI 1720489362
-
- Radiation Oncology Physician
- Lafayette, LA
- NPI 1427323187
-
- Multi-Specialty Clinic/Center
- Lafayette, LA
- NPI 1992975775
-
- Oral and Maxillofacial Surgery (Dentist)
- Baton Rouge, LA
- NPI 1306247556
-
- Radiation Oncology Physician
- Lafayette, LA
- NPI 1144256736
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
-
- General Acute Care Hospital
- Opelousas, LA
- NPI 1447230388
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1598766495
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1306281126
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.