Individual provider Active NPI

Rickesha Lanee' Wilson, M.D.

  • Surgery Physician
  • Cleveland, OH
National Provider Identifier
1881957769
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35.138778 Issued in OH
Practice address
9500 Euclid Ave # M61
Cleveland, OH 44195-0001
Phone
(682) 365-1211
NPI assigned
Jun 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X 35.138778 OH Primary

Addresses

Primary practice location

9500 Euclid Ave # M61
Cleveland, OH 44195-0001

Mailing address

526 Superior Ave E Apt 402
Cleveland, OH 44114-1421
Phone (682) 365-1211

Other practice location 1

University Of Connecticut School Of Medicine
Residency Administration - AG093
Farmington, CT 06030-0001
Phone (860) 679-2147

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL wilsonr13@ccf.org Health Information Exchange (HIE) Cleveland Clinic Foundation
CONNECT URL wilsonr13@ccf.org Health Information Exchange (HIE) Cleveland Clinic Foundation

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200518003260 OH Practitioner - General Surgery 3678904091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.138778OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince May 13, 2020 Accepting new patients
Cleveland Clinic Health System - East Region Past Accepting new patients

Locations

9500 Euclid Ave
#M61
Cleveland, OH 44195
Phone (216) 445-2224

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

6770 Mayfield Rd
Ste 421
Mayfield Heights, OH 44124
Phone (440) 312-3681

6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520

8300 Norton Pkwy
Mentor, OH 44060
Phone (213) 444-2200

Interoperability endpoints

  • Direct secure messaging: rickeshal.wilson@xdr.hhchealthdirect.org

Organizations & group practices 2

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 3

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": "1339804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1881957769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 SUPERIOR AVE E APT 402",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441141421",
            "telephone_number": "682-365-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE # M61",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "682-365-1211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University Of Connecticut School Of Medicine",
            "address_2": "Residency Administration - AG093",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060300001",
            "country_code": "US",
            "telephone_number": "860-679-2147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "RICKESHA",
        "middle_name": "LANEE'",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-16",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.138778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wilsonr13@ccf.org",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Cleveland Clinic Foundation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "any",
            "address_1": "9500 Euclid Ave # M61",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441950001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "wilsonr13@ccf.org",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Cleveland Clinic Foundation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "any",
            "address_1": "9500 Euclid Ave # M61",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441950001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.