DIRK TAYLOR WILSON
NPI 1184365413
Physical Medicine & Rehabilitation - Sports Medicine in Ogden, UT
About Dirk Taylor Wilson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIRK TAYLOR WILSON (NPI 1184365413) is an individual sports medicine provider in Ogden, Utah, licensed in Utah (14211531-1204) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and maintains a secondary practice location in Temple.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dirk Taylor Wilson 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.
Medicare Billing Reassignment
Medicare enrollment records show Dirk Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ogden, UT 84403
- Reassigned Medicare billing, Utah enrollment
- 3,691 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mckay-Dee Hospital
Acute Care Hospitals · Ogden, UTIntermountain Health Layton Hospital
Acute Care Hospitals · Layton, UTOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Dirk Wilson's NPI number?
The NPI number for Dirk Wilson is 1184365413. It was assigned to this individual provider in the NPPES registry on April 1, 2022.
Where is Dirk Wilson located?
Dirk Wilson practices at 4401 Harrison Blvd, Ogden, UT 84403. The listed phone number is (801) 387-3364.
What is Dirk Wilson's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.
Is Dirk Wilson enrolled in Medicare?
Yes. Dirk 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.
Which organization bills Medicare for Dirk Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dirk Wilson reassigns Medicare benefits to Ihc Health Services Inc (Ogden, UT). 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 Dirk Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Dirk Wilson affiliated with any hospitals?
According to CMS data, Dirk Wilson is affiliated with Mckay-Dee Hospital and Intermountain Health Layton Hospital.
When was this NPI record last updated?
The NPPES record for Dirk Wilson was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Dirk Taylor Wilson · NPI 1184365413
Sports Medicine physician in Ogden, Utah. Individual provider, active in the CMS NPPES registry since April 1, 2022.
## Identity
- **NPI:** 1184365413 (Entity type: Individual)
- **Enumerated:** April 1, 2022
- **Primary specialty:** Physical Medicine & Rehabilitation - Sports Medicine · taxonomy 2081S0010X
- **State license:** 14211531-1204 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 4401 HARRISON BLVD, Ogden, UT 84403-3195
- **Phone:** (801) 387-3364
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Ihc Health Services Inc (NPI 1366764813, Ogden, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** May 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1184365413) · Data from the CMS NPPES public registry.