Michael C Wilde, M.D.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

4888 Issued in SD

Practice address

1305 W 18TH St
Sioux Falls, SD 57105

Phone

(605) 328-4973

Fax

(605) 328-1295

NPI assigned

Jun 16, 2005

Last updated

Mar 31, 2022By 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 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

83.32 of 100Reported as group

Quality

75.87

Promoting interoperability

100

Improvement activities

40

Cost

68.53

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 23

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 29

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Sanford Health Network

  dba Sanford Clinic Vermillion

  • Family Medicine Physician
  • Vermillion, SD
  • NPI 1013921733

  W-2 Managing Employee

  CMS ownership
• Sanford Health Network

  dba Sanford Clinic Family Medicine Beresford

  • Rural Health Clinic/Center
  • Beresford, SD
  • NPI 1043231905

  W-2 Managing Employee

  CMS ownership
• Sanford Health Network

  dba Sanford Aberdeen Medical Center

  • General Acute Care Hospital
  • Aberdeen, SD
  • NPI 1235406455

  W-2 Managing Employee

  CMS ownership
• Sanford Health Network

  dba Sanford Canton Clinic

  • Critical Access Hospital
  • Canton, SD
  • NPI 1265718571

  W-2 Managing Employee

  CMS ownership
• Sanford Health Network

  dba Sanford Aberdeen Cardiology

  • General Acute Care Hospital
  • Aberdeen, SD
  • NPI 1639423957

  W-2 Managing Employee

  CMS ownership
• Sanford Health Network

  dba Sanford Canton Inwood Medical Center

  • Critical Access Hospital
  • Canton, SD
  • NPI 1740244540

  W-2 Managing Employee

  CMS ownership
• Sanford Health Network

  dba Sanford Care Center Vermillion

  • Critical Access Hospital
  • Vermillion, SD
  • NPI 1790721280

  W-2 Managing Employee

  CMS ownership
• Sanford Health Network

  dba Sanford Webster Medical Center

  • Critical Access Hospital
  • Webster, SD
  • NPI 1831103449

  W-2 Managing Employee

  CMS ownership
• Sanford Health Network

  dba Sanford Clear Lake Medical Center

  • Critical Access Hospital
  • Clear Lake, SD
  • NPI 1851305296

  W-2 Managing Employee

  CMS ownership
• Sanford Medical Center

  dba Sanford USD Medical Center

  • Air Ambulance
  • Sioux Falls, SD
  • NPI 1023299708

  W-2 Managing Employee

  CMS ownership
• Sanford Medical Center

  dba Edith Sanford Breast Specialty Clinic

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1093090342

  W-2 Managing Employee

  CMS ownership
• Sanford Medical Center

  dba Sanford Clinic Lake Norden

  • Rural Health Clinic/Center
  • Lake Norden, SD
  • NPI 1417927559

  W-2 Managing Employee

  CMS ownership

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.

• Sanford Clinic

  dba Sanford Health Psychiatry & Psychology Clinic

  • Psychologist
  • Sioux Falls, SD
  • NPI 1396764254
  Medicare reassignment NPD
• Sanford Medical Center

  dba Edith Sanford Breast Specialty Clinic

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1093090342

  Internal Medicine

  Medicare reassignment NPD
• Sanford Clinic

  dba Sanford Ear, Nose & Throat Clinic

  • Otolaryngology Physician
  • Sioux Falls, SD
  • NPI 1659303972
  NPD
• Sanford Clinic

  dba Sanford Virtual Health Services

  • Diagnostic Radiology Physician
  • Fargo, ND
  • NPI 1306641345
  NPD
• LCM Pathologists PC

  • Clinical Medical Laboratory
  • Sioux Falls, SD
  • NPI 1770742496
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1841295722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-4973",
            "fax_number": "605-328-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W 18TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57105",
            "telephone_number": "605-328-4973",
            "fax_number": "605-328-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDE",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SD",
            "license": "4888",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SD",
            "license": "4888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6004222",
            "state": "SD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwilde18432@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "1305 W 18th St",
            "city": "Sioux Falls",
            "state": "SD",
            "country_code": "US",
            "postal_code": "57105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Jean Wilcox, CSW-PIP
• Kelsi Wilcox, CSW-PIP
• Melissa Ann Wilcoxon, RDN, LN
• Wild Within, PLLC
• James R Wilde, M.D.
• Kelsey Eileen Wildfeuer, CNM
• Russell A Wilke, MD
• Richard M. Wilkins, CRNA
• Crystal Lynnann Wilkinson, MSW. CSW, PIP
• Joseph M Wilkinson, DPM

• Hospitalist Physician in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Hospitalist Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.