MARYLOUISE KIYANA WILKERSON M.D.
NPI 1811155278
Pediatrics - Pediatric Critical Care Medicine in Chicago, IL

Active since June 01, 2008PECOS EnrolledAccepts Medicare Assignment
1620 W HARRISON ST, CHICAGO, IL 60612(312) 947-8800 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 31, 2022, Aug 17, 2016 (2 updates tracked since 2016).

About Marylouise Kiyana Wilkerson M.d. NPPES

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

MARYLOUISE KIYANA WILKERSON M.D. (NPI 1811155278) is an individual pediatric critical care medicine provider in Chicago, Illinois, licensed in Illinois (036126183) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (2007).

NPPES Registry Identity

NPI1811155278
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameMARYLOUISE KIYANA WILKERSONCredential: M.D.
Location Address1620 W HARRISON STChicago, IL 60612-3801
Mailing Address1620 W Harrison StChicago, IL 60612-3801 · (312) 947-8800
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2007
Enumeration DateJune 1, 2008
Last NPPES UpdateJanuary 31, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2022
NPI 1811155278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in IL · 036126183
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
1620 W HARRISON ST, Chicago, IL 60612

Other Identifiers 1

Medicaid009948000FL

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

Marylouise Kiyana Wilkerson 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.

PECOS PAC ID3375811201
PECOS Enrollment IDI20260324000452
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.

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.

Internal Medicine
1620 W HARRISON ST
CHICAGO, IL 60612
Radiology (Vascular & Interventional Radiology)
1620 W HARRISON ST
CHICAGO, IL 60612
Obstetrics & Gynecology
1620 W HARRISON ST
CHICAGO, IL 60612
Internal Medicine
1620 W HARRISON ST
CHICAGO, IL 60612
Nurse Practitioner (Gerontology)
1620 W HARRISON ST
CHICAGO, IL 60612
Psychiatry & Neurology (Psychiatry)
1620 W HARRISON ST
CHICAGO, IL 60612
Registered Nurse
1620 W HARRISON ST
CHICAGO, IL 60612
Occupational Therapist
1620 W HARRISON ST
CHICAGO, IL 60612

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 Marylouise Wilkerson's NPI number?

The NPI number for Marylouise Wilkerson is 1811155278. It was assigned to this individual provider in the NPPES registry on June 1, 2008.

Where is Marylouise Wilkerson located?

Marylouise Wilkerson practices at 1620 W Harrison St, Chicago, IL 60612. The listed phone number is (312) 947-8800.

What is Marylouise Wilkerson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Marylouise Wilkerson enrolled in Medicare?

Yes. Marylouise Wilkerson 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 Marylouise Wilkerson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Marylouise Wilkerson 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 Marylouise Wilkerson was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.