Active NPI
Nathan Wilken, MD
- Anatomic Pathology & Clinical Pathology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- V0901
- Practice address
- 1 Baylor PLZ
Houston, TX 77030-3411 - Phone
- (713) 798-4951
- NPI assigned
- Apr 10, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | V0901 | TX | Primary |
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | V0901 | TX |
Addresses
Primary practice location
1 Baylor PLZ
Houston, TX 77030-3411
Mailing address
1 Baylor PLZ
Houston, TX 77030-3411
Phone (713) 798-4951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240627003079 | TX | Practitioner - Pathology | 2466996798 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Texas Childrens Hospital
Practice addresses (Care Compare)
6621 Fannin St
Houston, TX 77030-2358
Phone (832) 824-6422
Hospital & facility affiliations
- Texas Childrens Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V0901 | TX | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Childrens Hospital | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Texas Childrens Hospital | Blood Banking & Transfusion Medicine | Current | Accepting new patients |
| Texas Childrens Hospital | Blood Banking & Transfusion Medicine | Current | Accepting new patients |
Locations
6621 Fannin St
Houston, TX 77030
Phone (832) 824-1866
17600 Interstate 45 S
Ste WL270
The Woodlands, TX 77384
Phone (936) 267-5000
Interoperability endpoints
- nwilken306979@prddirect.texaschildrens.org
Organizations & group practices 3
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Houston, TX
- NPI 1487600334
Blood Banking & Transfusion Medicine, TX
-
- Anatomic Pathology & Clinical Pathology Physician
- Austin, TX
- NPI 1285403642
Anatomic Pathology & Clinical Pathology
-
- Anatomic Pathology & Clinical Pathology Physician
- The Woodlands, TX
- NPI 1427595313
Blood Banking & Transfusion Medicine
Hospital & facility affiliations 1
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": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1912460650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BAYLOR PLZ",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303411",
"telephone_number": "713-798-4951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BAYLOR PLZ",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303411",
"telephone_number": "713-798-4951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKEN",
"first_name": "NATHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-10",
"last_updated": "2024-05-16",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "V0901",
"primary": true
},
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "TX",
"license": "V0901",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.