NPI Details
Jason Wilson, MD is a pediatric urology urology in Albuquerque, NM with 30 years of experience. The provider is surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). Jason Wilson, MD NPI is 1841207891. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year:1996
The provider's business location address is:
2211 LOMAS BLVD NE
2ND AMBULATORY CARE CTR - DEPT OF SURGERY
ALBUQUERQUE, NM
ZIP 87131-001
Phone: (505) 272-5505
The NPI 1841207891 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Prostate resection (HCPCS:NAN14)
The enumeration date for this NPI number is 8/2/2006 and was last updated on 5/20/2025.
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 | 208800000X | Urology | | 2001-336 | NEW MEXICO | No |
| 2 | 2088P0231X | Urology | Pediatric Urology | 2001336 | NEW MEXICO | Yes |
