DR. RICHARD ALPHONSO WILSON M.D. NPI 1255486221

NPI Information

NPI: 1255486221
Provider Name: DR. RICHARD ALPHONSO WILSON, M.D.
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

PECOS Registration: Yes

Address:
106 IRVING ST NW
SUITE 315
WASHINGTON, DC
ZIP 20010
Phone: (202) 723-8000
Get Directions

DR. Richard Alphonso Wilson, M.D. is a rheumatology internal medicine in Washington, DC with 48 years of experience. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. DR. Richard Alphonso Wilson, M.D. NPI is 1255486221. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1976

The provider's business location address is:

106 IRVING ST NW
SUITE 315
WASHINGTON, DC
ZIP 20010-927
Phone: (202) 723-8000
Fax: (202) 882-7333

The NPI 1255486221 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 6/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RR0500X	Internal Medicine	Rheumatology	D0043663	MARYLAND	No
2	207RR0500X	Internal Medicine	Rheumatology	MD11903	DISTRICT OF COLUMBIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	521444579 0001	OTHER		CIGNA
2	413915	MEDICARE PIN	DISTRICT OF COLUMBIA
3	0004053756	OTHER		AETNA
4	0762	OTHER		BLUE CROSS BLUE SHIELD
5	521444579	OTHER		NCPPO
6	0735441	OTHER		AETNA
7	000783612	OTHER		AMERICAN POSTAL WORKERS
8	105547	OTHER		AMERIGROUP
9	010017400	MEDICAID	DISTRICT OF COLUMBIA
10	580P0762410001	OTHER		CAREFIRST NATIONAL ACCOUN
11	521444579 20010 A001	OTHER		TRICARE
12	521444579	OTHER		MAILHANDLERS
13	521444579	OTHER		VERIZON
14	521444579	OTHER		UNITED HEALTHCARE
15	H06833	MEDICARE UPIN
16	521444579	OTHER		KAISER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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