Active NPI
Derek Wilson, MD
- Anesthesiology Physician
- Lexington, KY
National Provider Identifier
1902485840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- TP229
- Practice address
- 1740 Nicholasville Rd
Lexington, KY 40503-1431 - Phone
- (859) 268-1030
- Fax
- (859) 269-4120
- NPI assigned
- Apr 7, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | TP229 | KY | Primary |
Addresses
Primary practice location
1740 Nicholasville Rd
Lexington, KY 40503-1431
Mailing address
425 Lewis Hargett Cir
Lexington, KY 40503-3590
Phone (859) 268-1030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1902485840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 LEWIS HARGETT CIR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405033590",
"telephone_number": "859-268-1030",
"fax_number": "859-269-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 NICHOLASVILLE RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405031431",
"telephone_number": "859-268-1030",
"fax_number": "859-269-4120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "DEREK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-07",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "KY",
"license": "TP229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.