MARK D WILSON, MD INC
NPI 1710470703
Internal Medicine - Endocrinology, Diabetes & Metabolism in Santa Barbara, CA

Active since June 13, 2018
400 W PUEBLO ST, SANTA BARBARA, CA 93105(805) 682-7111 Get Directions Write a Review

NPPES record last updated: June 13, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mark D Wilson, Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK D WILSON, MD INC (NPI 1710470703) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Santa Barbara, California and active in the NPI registry since June 2018. The organization maintains a secondary practice location in Santa Barbara and lists Mark Daniel Wilson, President, as its authorized official.

NPPES Registry Identity

NPI1710470703
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameMARK D WILSON, MD INC
Location Address400 W PUEBLO STSanta Barbara, CA 93105-4353
Mailing Address780 La Buena TierraSanta Barbara, CA 93111-1705 · (805) 637-1120
Organization SubpartNo
Authorized OfficialMark Daniel WilsonPresident · (805) 637-1120
Enumeration DateJune 13, 2018
✔ NPI 1710470703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in CA · A76869
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
400 W PUEBLO ST, Santa Barbara, CA 93105

Other Names 1

Other NameMark D Wilson, Md Inc

Secondary Practice Location 1

Location 1351 S Patterson AveSanta Barbara, CA 93111-2403 · Phone (805) 682-7111

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark D Wilson, Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mark D Wilson, MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Endocrinology
NPI 1902819782
215 PESETAS LN
Santa Barbara, CA 93110
(805) 681-1761
✔ PECOS✔ Accepts Medicare2.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mark D Wilson, MD Inc's NPI number?

The NPI number for Mark D Wilson, MD Inc is 1710470703. It was assigned to this organization in the NPPES registry on June 13, 2018.

Where is Mark D Wilson, MD Inc located?

Mark D Wilson, MD Inc is located at 400 W Pueblo St, Santa Barbara, CA 93105. The listed phone number is (805) 682-7111.

What is Mark D Wilson, MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Mark D Wilson, MD Inc enrolled in Medicare?

Yes. Mark D Wilson, MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mark D Wilson, MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Endocrinology) reassigns their Medicare billing to Mark D Wilson, MD Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mark D Wilson, MD Inc was last updated on June 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.