NPIMap

Individual provider Active NPI

William D Wilcox, MD

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1740241470
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0032906 Issued in CO
Practice address
3210 N Academy Blvd Ste 3
Colorado Springs, CO 80917-5158
Phone
(314) 993-2400
NPI assigned
Mar 31, 2006
Last updated
May 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0032906 CO Primary
Family Medicine Physician 207Q00000X 2001025591 MO

Addresses

Primary practice location

3210 N Academy Blvd Ste 3
Colorado Springs, CO 80917-5158

Mailing address

3210 N Academy Blvd Ste 3
Colorado Springs, CO 80917-5158
Phone (719) 531-0409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201208002072 CO Practitioner - Family Practice 6608772835 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadows Family Medical Center IncGroup PAC ID 0446151617, 64 clinicians

Practice addresses (Care Compare)

999 17TH St
Suite 500
Denver, CO 80202-2728
Phone (720) 355-0539

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0032906COMDFamily Medicine Physician
2001025591MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Matthews-Vu Medical Group, P.C. CurrentSince Dec 7, 2020 Accepting new patients
Matthews-Vu Medical Group, P.C. CurrentSince Dec 7, 2020 Accepting new patients
Matthews-Vu Medical Group, P.C. Current Accepting new patients
Meadows Family Medical Center Inc Family Medicine CurrentSince Jan 6, 2024 Accepting new patients
Cardiothoracic Surgery, LLC Past Accepting new patients
Mountain View Medical Group, PC Past Accepting new patients
Tri-County Family Practice, LLC Family Medicine PastSince Jul 1, 2007 Accepting new patients
Mountain View Medical Group, PC Family Medicine Past Accepting new patients
Mercy Clinic East Communities Family Medicine Past Accepting new patients
Lois Lane Operations, LLC Past Accepting new patients

Locations

104 Pro Rodeo Dr
Ste 100
Colorado Springs, CO 80919
Phone (719) 522-0707

4190 E Woodmen Rd
Ste 100
Colorado Springs, CO 80920
Phone (630) 328-7971

999 17th St
Ste 500
Denver, CO 80202
Phone (720) 355-0539

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1928/brand/1/csg/62/fhir/r4
  • Direct secure messaging: wdwilcox@dmg.ssdirect.aprima.com

Organizations & group practices 10

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1740241470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 N ACADEMY BLVD STE 3",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175158",
            "telephone_number": "719-531-0409",
            "fax_number": "719-531-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 N ACADEMY BLVD STE 3",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809175158",
            "telephone_number": "314-993-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "WILLIAM",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "0032906",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2001025591",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.