Timothy S Wilson, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

DOS 1192 Issued in HI

Practice address

347 N Kuakini St
Honolulu, HI 96817-2336

Phone

(808) 536-2236

Fax

(808) 547-9547

NPI assigned

Jul 11, 2006

Last updated

Feb 24, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

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

Specialty

Emergency Medicine

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oahu Emergency Physician Services LLCGroup PAC ID 5193132686, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kuakini Medical Center Hospital, Honolulu, HI, CCN 120007

Merit-based Incentive Payment System (MIPS)

Final score

90.29 of 100Reported as group

Quality

74.63

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Oahu Emergency Physician Services, LLC

  • Emergency Medicine Physician
  • Honolulu, HI
  • NPI 1649864471
  Medicare reassignment Care Compare group NPD
• Emergency Medicine Physicians of York County, LTD

  • Emergency Medicine Physician
  • York, PA
  • NPI 1972542850
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kuakini Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1215939335
  Care Compare affiliation

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1578598173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 N KUAKINI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172336",
            "telephone_number": "808-536-2236",
            "fax_number": "808-547-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 N KUAKINI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172336",
            "telephone_number": "808-536-2236",
            "fax_number": "808-547-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TIMOTHY",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "DOS 1192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61186501",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Wilson
• Shardell Wilson
• Stephen James Wilson, M.D.
• Stephen R Wilson
• Tiffany NP Wilson
• William Louis Wilson, DO
• Michele Rose Wince
• Windward Family Therapy Center
• Windward Urgent Care Services, L.L.C
• Windward Urgent Care Services, L.L.C

• Emergency Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Emergency Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.

Verify at the official NPI Registry.