THEODORE ERNEST WILSON MD
NPI 1699035030
Medical Genetics - Clinical Genetics (M.D.) in Louisville, KY
About Theodore Ernest Wilson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THEODORE ERNEST WILSON MD (NPI 1699035030) is an individual clinical genetics (m.d.) provider in Louisville, Kentucky, licensed in Kentucky (TP230) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Other Identifiers 3
Accepted Insurance
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
Theodore Ernest Wilson Md 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 Reassignments
4Medicare enrollment records show Theodore Wilson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Louisville, KY 40241
- Reassigned Medicare billing, Kentucky enrollment
- Medicare enrollment name: Norton Childrens Medical Group LLC
- 1,008 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 523 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 737 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 5,212 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Indiana University Health
Acute Care Hospitals · Indianapolis, INOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
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 Theodore Wilson's NPI number?
The NPI number for Theodore Wilson is 1699035030. It was assigned to this individual provider in the NPPES registry on May 18, 2012.
Where is Theodore Wilson located?
Theodore Wilson practices at 411 E Chestnut St, Louisville, KY 40202. The listed phone number is (502) 588-0850.
What is Theodore Wilson's specialty?
The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.
Is Theodore Wilson enrolled in Medicare?
Yes. Theodore 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 organizations bill Medicare for Theodore Wilson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Wilson reassigns Medicare benefits to 4 organizations: Norton Children's Medical Group, LLC (Louisville, KY), Iu Health Medical Group Riley Specialists, LLC (Indianapolis, IN), University Family Physicians, Inc. (Indianapolis, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). Each 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 Theodore Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theodore Wilson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Theodore Wilson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Theodore Wilson affiliated with any hospitals?
According to CMS data, Theodore Wilson is affiliated with Indiana University Health.
When was this NPI record last updated?
The NPPES record for Theodore Wilson was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Theodore Ernest Wilson, MD · NPI 1699035030
Clinical Genetics (M.D.) physician in Louisville, Kentucky. Individual provider, active in the CMS NPPES registry since May 18, 2012.
## Identity
- **NPI:** 1699035030 (Entity type: Individual)
- **Enumerated:** May 18, 2012
- **Primary specialty:** Medical Genetics - Clinical Genetics (M.D.) · taxonomy 207SG0201X
- **State license:** TP230 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 411 E CHESTNUT ST, Louisville, KY 40202-1713
- **Phone:** (502) 588-0850 · **Fax:** (502) 588-0861
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Norton Children's Medical Group, LLC (NPI 1013559921, Louisville, KY); Iu Health Medical Group Riley Specialists, LLC (NPI 1699561480, Indianapolis, IN); University Family Physicians, Inc. (NPI 1043275787, Indianapolis, IN); Iu Health Medical Group, LLC (NPI 1326893777, Indianapolis, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Colorado School Of Medicine, Denver, class of 2012
## Record status
- **NPPES last updated:** July 24, 2026
- **Other identifiers:** Other 000001126408 (IN); Other 1102391322 (IN); Medicaid 300007251 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1699035030) · Data from the CMS NPPES public registry.