DR. JONATHAN DOUGLAS WILDI M.D.
NPI 1710298583
Family Medicine in Beaverton, OR
About Dr. Jonathan Douglas Wildi M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JONATHAN DOUGLAS WILDI M.D. (NPI 1710298583) is an individual family medicine provider in Beaverton, Oregon, licensed in Oregon (MD184942) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Oregon Health Sciences University School Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Dr. Jonathan Douglas Wildi M.d. 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97005 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.
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 Jonathan Wildi's NPI number?
The NPI number for Jonathan Wildi is 1710298583. It was assigned to this individual provider in the NPPES registry on June 28, 2010.
Where is Jonathan Wildi located?
Jonathan Wildi practices at 4855 SW Western Ave, Beaverton, OR 97005. The listed phone number is (800) 813-2000.
What is Jonathan Wildi's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jonathan Wildi enrolled in Medicare?
Yes. Jonathan Wildi 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 Jonathan Wildi accept?
Health plans from Kaiser Permanente list Jonathan Wildi 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.
When was this NPI record last updated?
The NPPES record for Jonathan Wildi 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 14 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.
# Dr. Jonathan Douglas Wildi, M.D. · NPI 1710298583
Family Medicine physician in Beaverton, Oregon. Individual provider, active in the CMS NPPES registry since June 28, 2010.
## Identity
- **NPI:** 1710298583 (Entity type: Individual)
- **Enumerated:** June 28, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD184942 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 4855 SW WESTERN AVE, Beaverton, OR 97005-3460
- **Phone:** (800) 813-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Oregon Health Sciences University School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** May 22, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1710298583) · Data from the CMS NPPES public registry.