FREDRICK P WILSON DO
NPI 1124076047
Family Medicine in Cleveland, OH
About Fredrick P Wilson Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FREDRICK P WILSON DO (NPI 1124076047) is an individual family medicine provider in Cleveland, Ohio, licensed in Ohio (34003543W) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fredrick P Wilson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Fredrick Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cleveland, OH 44195
- Reassigned Medicare billing, Ohio enrollment
- 7,608 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44195 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CLEVELAND, OH 44195
CLEVELAND, OH 44195
CLEVELAND, OH 44195
CLEVELAND, OH 44195
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 Fredrick Wilson's NPI number?
The NPI number for Fredrick Wilson is 1124076047. It was assigned to this individual provider in the NPPES registry on May 4, 2006.
Where is Fredrick Wilson located?
Fredrick Wilson practices at 9500 Euclid Ave, Cleveland, OH 44195. The listed phone number is (800) 223-2273.
What is Fredrick Wilson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Fredrick Wilson enrolled in Medicare?
Yes. Fredrick Wilson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Fredrick Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Fredrick Wilson reassigns Medicare benefits to The Cleveland Clinic Foundation (Cleveland, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Fredrick Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Fredrick Wilson was last updated on February 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Fredrick P Wilson, DO · NPI 1124076047
Family Medicine physician in Cleveland, Ohio. Individual provider, active in the CMS NPPES registry since May 4, 2006.
## Identity
- **NPI:** 1124076047 (Entity type: Individual)
- **Enumerated:** May 4, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 34003543W (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 9500 EUCLID AVE, Cleveland, OH 44195-0001
- **Phone:** (800) 223-2273
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Cleveland Clinic Foundation (NPI 1679525919, Cleveland, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2008
- **Other identifiers:** Medicaid 0865630 (OH); Medicare UPIN F08246 (OH)
---
Source: [NPI Profile](https://npiprofile.com/npi/1124076047) · Data from the CMS NPPES public registry.