1. Home
  2. Directory
  3. Kentucky
  4. Louisville
  5. Medical Genetics
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

THEODORE ERNEST WILSON MD
NPI 1699035030
Medical Genetics - Clinical Genetics (M.D.) in Louisville, KY

Active since May 18, 2012PECOS Enrolled
411 E CHESTNUT ST, LOUISVILLE, KY 40202(502) 588-0850(502) 588-0861 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2026, Feb 21, 2025 (2 updates tracked since 2025).

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

NPI1699035030
Entity TypeIndividualMale
Primary Taxonomy207SG0201X
Provider Legal NameTHEODORE ERNEST WILSONCredential: MD
Location Address411 E CHESTNUT STLouisville, KY 40202-1713
Mailing AddressPo Box 776879Chicago, IL 60677-6789
Phone(502) 588-0850
Fax(502) 588-0861
Sole ProprietorYes
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2012
Enumeration DateMay 18, 2012
Last NPPES UpdateJuly 24, 20262 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1699035030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
Licenses✔ Licensed in KY · TP230✔ Licensed in IN · 01079354A
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Also ListedPediatricsTaxonomy 208000000X · License 01079354A (IN), P27658 (MD)
411 E CHESTNUT ST, Louisville, KY 40202
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1550 University BlvdIndianapolis, IN 46202-5149 · Phone (317) 944-3966
Location 22401 W Belvedere AveBaltimore, MD 21215-5216 · Phone (410) 601-6308
Location 31002 Wishard BlvdIndianapolis, IN 46202-4163 · Phone (317) 944-3966 · Fax (317) 968-1354

Other Identifiers 3

Other000001126408IN · Anthem Ptan
Other1102391322IN · Anthem Ptan
Medicaid300007251IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

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

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.

PECOS PAC ID941438568
PECOS Enrollment IDI20171031002674
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.

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, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

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.

PATRICIA GAIL WILLIAMS MD
Pediatrics (Developmental - Behavioral Pediatrics)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-0850
MS. KIMBERLY LYNNE HALL DNP FNP-BC
Nurse Practitioner (Family)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-2201
MS. ANN ELIZABETH LORIMER PA-C
Physician Assistant
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-7600
AMANDA BRIAN ROGERS MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-3650
HALLEY STEWART GC
Genetic Counselor, MS
411 E CHESTNUT ST, LEVEL 2
LOUISVILLE, KY 40202
Jefferson County (502) 588-0850
DR. MARY E FALLAT M.D.
Surgery (Pediatric Surgery)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-0390
JESSICA RAY COLEMAN APRN
Nurse Practitioner (Family)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-3400
ALICE BOOS-EDWARDS APRN
Nurse Practitioner (Pediatrics)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-2201

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.

What insurance does Theodore Wilson accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource 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 15 days 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.