Active NPI
Spencer Allison Wilson, M.D.
- Gastroenterology Physician
- Indianapolis, IN
National Provider Identifier
1679731046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 01060883A
- Practice address
- 8424 Naab Rd
Suite 3J
Indianapolis, IN 46260-5918 - Phone
- (317) 872-7396
- NPI assigned
- Jun 1, 2008
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 01060883A | IN | Primary |
Addresses
Primary practice location
8424 Naab Rd
Suite 3J
Indianapolis, IN 46260-5918
Mailing address
8424 Naab Rd
Suite 3J
Indianapolis, IN 46260-5918
Phone (317) 872-7396
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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
- Gastroenterology
- Education
- Indiana University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8424 Naab Rd
Suite 3J
Indianapolis, IN 46260-1975
Phone (317) 872-7396
Hospital & facility affiliations
- Ascension St Vincent Carmel
- Ascension St Vincent Hospital
- Hendricks Regional Health
- Marion General Hospital
- Indiana University Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 69.63 of 100
- Quality
- 44.1
- Improvement activities
- 40
- Cost
- 73.29
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 109 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 134 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01060883A | IN | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Gastroenterology, Inc., PC | Gastroenterology | Current | Accepting new patients |
| Northside Gastroenterology Endoscopy Center LLC | Current | Accepting new patients |
Locations
8424 Naab Rd
Ste 3J
Indianapolis, IN 46260
Phone (317) 872-7396
8424 Naab Rd
Ste 3G
Indianapolis, IN 46260
Phone (317) 871-7308
Interoperability endpoints
- spencerwilson@ng.allscriptsdirect.net
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.
-
- Gastroenterology Physician
- Indianapolis, IN
- NPI 1568578201
-
- Ambulatory Surgical Clinic/Center
- Indianapolis, IN
- NPI 1659344133
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Danville, IN
- NPI 1669475950
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
-
- General Acute Care Hospital
- Gas City, IN
- NPI 1760186373
-
- General Acute Care Hospital
- Marion, IN
- NPI 1770679201
-
- General Acute Care Hospital
- Carmel, IN
- NPI 1639124134
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1306898960
-
- General Acute Care Hospital
- Avon, IN
- NPI 1851833230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349222400000",
"number": "1679731046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8424 NAAB RD",
"address_2": "SUITE 3J",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462605918",
"telephone_number": "317-872-7396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8424 NAAB RD",
"address_2": "SUITE 3J",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462605918",
"telephone_number": "317-872-7396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "SPENCER",
"middle_name": "ALLISON",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-01",
"last_updated": "2012-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IN",
"license": "01060883A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 3, 2012; 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.