Individual provider Active NPI

Susan Roth Wilton, M.D.

  • Ophthalmology Physician
  • Radnor, PA
National Provider Identifier
1851370407
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD054357L Issued in PA
Practice address
145 King of Prussia Rd Ste 204
Radnor, PA 19087-4557
Phone
(610) 902-2020
Fax
(215) 243-4696
NPI assigned
Jan 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD054357L PA Primary

Addresses

Primary practice location

145 King of Prussia Rd Ste 204
Radnor, PA 19087-4557

Mailing address

51 North 39TH Street
Philadelphia, PA 19104-2689
Phone (610) 902-2020

Other identifiers 2

IdentifierTypeStateIssuer
0015185260001MedicaidPA
5914840001OtherPAPTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040420001294 PA Practitioner - Ophthalmology 9830185529 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

145 King of Prussia Rd
Suite 204
Radnor, PA 19087-4557
Phone (610) 902-2020

Hospital & facility affiliations

  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD054357LPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Nov 17, 2025 Accepting new patients
University of Penn-Medical Group CurrentSince Nov 17, 2025 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Phoenixville Eye Care Specialists Ophthalmology CurrentSince Sep 1, 2016 Accepting new patients
University of Penn - Medical Group Past Accepting new patients
Sanatoga Ophthalmology Associates, Inc. Ophthalmology Past Accepting new patients
Sanatoga Optical Past Accepting new patients

Locations

720 Main St
Phoenixville, PA 19460
Phone (610) 933-3498

145 King of Prussia Rd
Ste 204
Radnor, PA 19087
Phone (610) 902-2020

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1851370407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 NORTH 39TH STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042689",
            "telephone_number": "610-902-2020",
            "fax_number": "610-902-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 KING OF PRUSSIA RD STE 204",
            "city": "RADNOR",
            "state": "PA",
            "postal_code": "190874557",
            "telephone_number": "610-902-2020",
            "fax_number": "215-243-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTON",
        "first_name": "SUSAN",
        "middle_name": "ROTH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD054357L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015185260001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "5914840001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Radnor, PA

Sources for this page

Verify at the official NPI Registry.