Individual provider Active NPI

Christopher David Wilhelm, MD

  • Internal Medicine Physician
  • Honor, MI
National Provider Identifier
1568460699
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
CW045808 Issued in MI
Practice address
4105 Birch Dr
Honor, MI 49640-9753
Phone
(313) 530-9890
NPI assigned
Jul 12, 2005
Last updated
Feb 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X CW045808 MI Primary

Addresses

Primary practice location

4105 Birch Dr
Honor, MI 49640-9753

Mailing address

4105 Birch Dr
Honor, MI 49640-9753
Phone (313) 530-9890

Other identifiers 1

IdentifierTypeStateIssuer
1106361501OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20080617000288 MI Practitioner - Internal Medicine 1557432606 Practice locations: Troy, MI

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CW045808MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher D. Wilhelm CurrentSince Jan 1, 1990 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1080 Kirts Blvd
Ste 700
Troy, MI 48084
Phone (248) 362-2300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1568460699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 BIRCH DR",
            "city": "HONOR",
            "state": "MI",
            "postal_code": "496409753",
            "telephone_number": "313-530-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 BIRCH DR",
            "city": "HONOR",
            "state": "MI",
            "postal_code": "496409753",
            "telephone_number": "313-530-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILHELM",
        "first_name": "CHRISTOPHER",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "CW045808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1106361501",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honor, MI

Sources for this page

Verify at the official NPI Registry.