NPIMap

Individual provider Active NPI

Michael Walter Wildman, N.D

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1538926811
Registry record updated Oct 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ND20250213 Issued in IN
Practice address
5602 Caito Dr
Indianapolis, IN 46226-1346
Phone
(317) 942-3102
NPI assigned
Mar 4, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X IN
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X ND20250213 IN Primary

Addresses

Primary practice location

5602 Caito Dr
Indianapolis, IN 46226-1346

Mailing address

1138 Chattanooga Cir
Indianapolis, IN 46229-9611
Phone (812) 298-4841

Other names 1

  • Walter Michael Wildman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ND20250213INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Immediate Care Current Accepting new patients
Thrive Urgent Wellness Center LLC Family Medicine Current Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760832000000",
    "number": "1538926811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 CHATTANOOGA CIR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462299611",
            "telephone_number": "812-298-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 CAITO DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261346",
            "telephone_number": "317-942-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDMAN",
        "first_name": "MICHAEL",
        "middle_name": "WALTER",
        "credential": "N.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-04",
        "last_updated": "2025-10-19",
        "certification_date": "2025-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "ND20250213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WALTER",
            "last_name": "WILDMAN",
            "middle_name": "MICHAEL",
            "credential": "ND",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.