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NATHAN WILKEN MD
NPI 1912460650
Pathology - Anatomic Pathology & Clinical Pathology in Houston, TX

Active since April 10, 2019PECOS EnrolledAccepts Medicare Assignment
1 BAYLOR PLZ, HOUSTON, TX 77030(713) 798-4951 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2024, Mar 8, 2024, Apr 10, 2019 (3 updates tracked since 2019).

About Nathan Wilken Md NPPES

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

NATHAN WILKEN MD (NPI 1912460650) is an individual anatomic pathology & clinical pathology provider in Houston, Texas, licensed in Texas (V0901) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Texas Childrens Hosp, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1912460650
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameNATHAN WILKENCredential: MD
Location Address1 BAYLOR PLZHouston, TX 77030-3411
Mailing Address1 Baylor PlzHouston, TX 77030-3411 · (713) 798-4951
Phone(713) 798-4951
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 10, 2019
Last NPPES UpdateMay 16, 20243 updates tracked since enumeration
NPPES CertifiedApril 30, 2024
✔ NPI 1912460650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in TX · V0901
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · Blood Banking & Transfusion MedicineTaxonomy 207ZB0001X · License V0901 (TX)
1 BAYLOR PLZ, Houston, TX 77030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Community Health Choice.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

Nathan Wilken 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 ID2466996798
PECOS Enrollment IDI20240627003079
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.

Texas Childrens Hosp

Childrens · Houston, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number453304
Location6621 Fannin StreetHouston, TX 77030 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

BAYLOR COLLEGE OF MEDICINE
General Acute Care Hospital
1 BAYLOR PLZ, SUITE 022D
HOUSTON, TX 77030
Harris County (713) 798-4620
MATTHEW CARROLL
Obstetrics & Gynecology
1 BAYLOR PLZ, BCM610
HOUSTON, TX 77030
Harris County (832) 826-7372
DR. HOLLAND MANON KAPLAN MD
Hospitalist
1 BAYLOR PLZ
HOUSTON, TX 77030
Harris County (940) 231-1879
SIDRAH SHAH MD
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ
HOUSTON, TX 77030
Harris County (713) 798-5928
MICHAEL AZAR MD (PLANNED 5/27/22)
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ
HOUSTON, TX 77030
Harris County (713) 798-6376
MICHELE ALEXIS CABEZA MD
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ
HOUSTON, TX 77030
Harris County (832) 824-0200
NATHANIEL GREY LOYD
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ
HOUSTON, TX 77030
Harris County (405) 834-5432
ANDREA ELIZABETH GULOY
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ
HOUSTON, TX 77030
Harris County (832) 824-1170

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 Nathan Wilken's NPI number?

The NPI number for Nathan Wilken is 1912460650. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Where is Nathan Wilken located?

Nathan Wilken practices at 1 Baylor Plz, Houston, TX 77030. The listed phone number is (713) 798-4951.

What is Nathan Wilken's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Nathan Wilken enrolled in Medicare?

Yes. Nathan Wilken 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 Nathan Wilken accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Community Health Choice list Nathan Wilken 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 Nathan Wilken affiliated with any hospitals?

According to CMS data, Nathan Wilken is affiliated with Texas Childrens Hosp.

When was this NPI record last updated?

The NPPES record for Nathan Wilken was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.