DELORAN L WILSON M.D.
NPI 1114151032
Psychiatry & Neurology - Psychiatry in Baltimore, MD

Active since May 06, 2009PECOS EnrolledAccepts Medicare Assignment
1501 SULGRAVE AVE, BALTIMORE, MD 21209(443) 708-5856 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2024, Mar 17, 2018, Jan 18, 2018 (3 updates tracked since 2018).

About Deloran L Wilson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DELORAN L WILSON M.D. (NPI 1114151032) is an individual psychiatry provider in Baltimore, Maryland, licensed in Maryland (D75831) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Howard University College Of Medicine (2009).

NPPES Registry Identity

NPI1114151032
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDELORAN L WILSONCredential: M.D.
Location Address1501 SULGRAVE AVEBaltimore, MD 21209-3654
Mailing Address7263 Brookfalls TerBaltimore, MD 21209-1649 · (410) 409-4191
Sole ProprietorYes
Medical School CMSHoward University College Of MedicineGraduated 2009
Enumeration DateMay 6, 2009
Last NPPES UpdateJuly 23, 20243 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
NPI 1114151032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in MD · D75831
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1501 SULGRAVE AVE, Baltimore, MD 21209

Secondary Practice Location 1

Location 1111 S 11th St, Suite 2170Philadelphia, PA 19107-4824 · Phone (215) 955-6610

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Deloran L Wilson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092940817
PECOS Enrollment IDI20131104001216
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.44 typical visit price
range $60.73 – $183.44
Typical copayment $45.86 (range $15.18 – $45.86)
Most-billed visit code 99205
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
1501 SULGRAVE AVE
BALTIMORE, MD 21209
Social Worker (Clinical)
1501 SULGRAVE AVE
BALTIMORE, MD 21209
Psychologist (Clinical)
1501 SULGRAVE AVE, SUITE 208
BALTIMORE, MD 21209
Clinic/Center (Mental Health (Including Community Mental Health Center))
1501 SULGRAVE AVE
BALTIMORE, MD 21209
Social Worker (Clinical)
1501 SULGRAVE AVE, SUITE 200
BALTIMORE, MD 21209
Clinical Nurse Specialist (Psychiatric/Mental Health)
1501 SULGRAVE AVE, 206
BALTIMORE, MD 21209
Acupuncturist
1501 SULGRAVE AVE, SUITE 305
BALTIMORE, MD 21209
Clinic/Center (Adult Mental Health)
1501 SULGRAVE AVE
BALTIMORE, MD 21209

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deloran Wilson's NPI number?

The NPI number for Deloran Wilson is 1114151032. It was assigned to this individual provider in the NPPES registry on May 6, 2009.

Where is Deloran Wilson located?

Deloran Wilson practices at 1501 Sulgrave Ave, Baltimore, MD 21209. The listed phone number is (443) 708-5856.

What is Deloran Wilson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Deloran Wilson enrolled in Medicare?

Yes. Deloran Wilson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Deloran Wilson was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.