Active NPI
Todd Matthew Wilson, DO
- Allergy & Immunology Physician
- Rockville, MD
National Provider Identifier
1780876797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- H0061563
- Practice address
- 9605 Medical Center Dr
Rockville, MD 20850-6380 - Phone
- (800) 772-6436
- NPI assigned
- Aug 14, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | H0061563 | MD | |
| Allergy & Immunology Physician | 207K00000X | H0061563 | MD | Primary |
Addresses
Primary practice location
9605 Medical Center Dr
Rockville, MD 20850-6380
Mailing address
9605 Medical Center Dr
Rockville, MD 20850-6380
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0061563 | MD | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1780876797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9605 MEDICAL CENTER DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208506380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9605 MEDICAL CENTER DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208506380",
"telephone_number": "800-772-6436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "TODD",
"middle_name": "MATTHEW",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-14",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "H0061563",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "MD",
"license": "H0061563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.