Active NPI
Eric P Wilkens, MD
- Anesthesiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD073094L
- Practice address
- 3401 N Broad St
Philadelphia, PA 19140-5103 - Phone
- (215) 707-3326
- Fax
- (215) 707-8028
- NPI assigned
- Sep 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 239566 | NY | |
| Anesthesiology Physician | 207L00000X | 35358 | IA | |
| Anesthesiology Physician | 207L00000X | MD073094L | PA | Primary |
Addresses
Primary practice location
3401 N Broad St
Philadelphia, PA 19140-5103
Mailing address
2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Phone (215) 707-3326
Other practice location 1
168 West 168th Street, PH 5-505
Columbia University Dept. of Anesthesiology
New York, NY 10032
Phone (212) 342-2210
Other practice location 2
168 West 168th Street, PH 5-505
Columbia University Dept. of Anesthesiology
New York, NY 10032
Phone (212) 342-2210
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12001 | Other | IA | WELLMARK BCBS |
| 0432872 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Johns Hopkins University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-5030
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35358 | IA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Anaesthesiology, University Faculty Practice Corporation | Anesthesiology | Current | Accepting new patients |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Anesthesiology | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Anesthesiology | Past | Accepting new patients |
Locations
100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560
3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807
333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893
2450 W Hunting Park Ave
Philadelphia, PA 19129
Phone (215) 707-2433
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1881176949
-
- Anesthesiology Physician
- Stony Brook, NY
- NPI 1801841184
-
- Gastroenterology Physician
- Philadelphia, PA
- NPI 1548742489
-
- Urology Physician
- Voorhees, NJ
- NPI 1407638794
-
- Anesthesiology Physician
- New York, NY
- NPI 1841239829
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1275157455
-
- Ambulatory Surgical Clinic/Center
- Philadelphia, PA
- NPI 1275682148
Hospital
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1356981443
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1871368654
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1932813789
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1962579029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524182400000",
"number": "1811983513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 W HUNTING PARK AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191291302",
"telephone_number": "215-707-3326",
"fax_number": "215-707-8028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191405103",
"telephone_number": "215-707-3326",
"fax_number": "215-707-8028"
}
],
"practiceLocations": [
{
"address_1": "168 West 168th Street, PH 5-505",
"address_2": "Columbia University Dept. of Anesthesiology",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10032",
"country_code": "US",
"telephone_number": "212-342-2210",
"fax_number": "212-342-2211",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "168 West 168th Street, PH 5-505",
"address_2": "Columbia University Dept. of Anesthesiology",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10032",
"country_code": "US",
"telephone_number": "212-342-2210",
"fax_number": "212-342-2211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILKENS",
"first_name": "ERIC",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2018-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "239566",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IA",
"license": "35358",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD073094L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "12001",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0432872",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.