DR. RICHARD ALPHONSO WILSON JR. M.D.
NPI 1255486221
Internal Medicine - Rheumatology in Washington, DC
NPI Status: Active since January 23, 2007
Contact Information
106 IRVING ST NW
SUITE 315
WASHINGTON, DC
ZIP 20010
Phone: (202) 723-8000
Fax: (202) 882-7333
- Individual
- Male
- Internal Medicine
- Rheumatology
- PECOS Enrolled
About RICHARD WILSON
This page provides the complete NPI Profile along with additional information for Richard Wilson, an internist established in Washington, District Of Columbia with a medical specialization in Internal Medicine, focusing in rheumatology . The healthcare provider is registered in the NPI registry with number 1255486221 assigned on January 2007. The practitioner's primary taxonomy code is 207RR0500X with license number MD11903 (DC). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1255486221
- Provider Name
- DR. RICHARD ALPHONSO WILSON JR. M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 106 IRVING ST NW SUITE 315 WASHINGTON, DC 20010
- Location Phone
- (202) 723-8000
- Location Fax
- (202) 882-7333
- Mailing Address
- 106 IRVING ST NW SUITE 315 WASHINGTON, DC 20010
- Mailing Phone
- (202) 723-8000
- Mailing Fax
- (202) 882-7333
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-23-2007
- Last Update Date
- 06-24-2008
- Code Navigator
An internist like Richard Wilson is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Rheumatology
- Taxonomy Code
- 207RR0500X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD11903
- License State
- DC
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RR0500X | Allopathic & Osteopathic Physicians | Internal Medicine | D0043663 (MD) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 521444579 0001 | OTHER (01) | CIGNA | |
| 413915 | MEDICARE PIN (08) | DC | |
| 0004053756 | OTHER (01) | AETNA | |
| 0762 | OTHER (01) | BLUE CROSS BLUE SHIELD | |
| 521444579 | OTHER (01) | NCPPO | |
| 0735441 | OTHER (01) | AETNA | |
| 000783612 | OTHER (01) | AMERICAN POSTAL WORKERS | |
| 105547 | OTHER (01) | AMERIGROUP | |
| 010017400 | MEDICAID (05) | DC | |
| 580P0762410001 | OTHER (01) | CAREFIRST NATIONAL ACCOUN | |
| 521444579 20010 A001 | OTHER (01) | TRICARE | |
| 521444579 | OTHER (01) | MAILHANDLERS | |
| 521444579 | OTHER (01) | VERIZON | |
| 521444579 | OTHER (01) | UNITED HEALTHCARE | |
| H06833 | MEDICARE UPIN (02) | ||
| 521444579 | OTHER (01) | KAISER |
Medicare Participation & PECOS Enrollment Status
Richard Wilson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 30-39 minutes
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 11 times for 11 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 20010 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $147.85
- Minimum New Patient Price $65.18
- Maximum New Patient Price $194.86
- Average New Patient Copayment $36.96
- Minimum New Patient Copayment $16.29
- Maximum New Patient Copayment $48.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $113.72
- Minimum Established Patient Price $21.4
- Maximum Established Patient Price $158.88
- Average Established Patient Copayment $28.43
- Minimum Established Patient Copayment $5.35
- Maximum Established Patient Copayment $39.72
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1255486221, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
WASHINGTON, DC 20010
WASHINGTON, DC 20010
WASHINGTON, DC 20010
WASHINGTON, DC 20010
WASHINGTON, DC 20010
WASHINGTON, DC 20010
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255486221, enumerated as an "individual" on January 23, 2007.
The provider is located at 106 IRVING ST NW SUITE 315 WASHINGTON, DC 20010 and the phone number is (202) 723-8000.
Internal Medicine with taxonomy code 207RR0500X and a focus in Rheumatology.
The provider might be accepting Accepts: Cigna, Medicare, Medicaid, Aetna, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
