Individual provider

Thomas Wilson, M.D.

Pediatric Endocrinology Physician Medicare enrolled

Thomas Wilson, M.D. is a Pediatric Endocrinology Physician in San Luis Obispo, CA, registered under NPI 1063454080.

Getting there

The practice address on file is 1010 MURRAY AVE, San Luis Obispo, CA 93405. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1010 MURRAY AVE, San Luis Obispo, CA 93405 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
G30444 CA Pediatric Endocrinology Physician primary
151531 NY Pediatric Endocrinology Physician

Licences are recorded in 2 states: CA, NY. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Pediatric Medicine
PAC ID
9830213602

Medicare enrolment is recorded as approved under the provider type Practitioner - Pediatric Medicine. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: California and New York. The practice address on file is in San Luis Obispo, CA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CA California practice address
Licence
G30444
Specialty
Pediatric Endocrinology Physician
Verify with the CA board →
NY New York
Licence
151531
Specialty
Pediatric Endocrinology Physician
Verify with the NY board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Pediatric Endocrinology covers

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. NUCC Health Care Provider Taxonomy, code 2080P0205X
Allopathic & Osteopathic Physicians Pediatrics Pediatric Endocrinology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2080P0205X Pediatric Endocrinology Physician Pediatric Endocrinology G30444 CA primary
2080P0205X Pediatric Endocrinology Physician Pediatric Endocrinology 151531 NY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1063454080 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 12, 2006
Last updatedMay 19, 2020
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 1010 MURRAY AVE
San Luis Obispo, CA 93405
(805) 546-7692
Fax (805) 546-7932
Mailing address PO BOX 16012
San Luis Obispo, CA 93406
Other identifiers 00725544 (NY)
4249553 · AETNA (NY)
79A002 · EMPIRE BC.BS (NY)
The last update on file is May 19, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1063454080 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 4 5 4 0 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 8 5 8 0 7

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063454080?
NPI 1063454080 is the National Provider Identifier assigned to Thomas Wilson, M.D. in San Luis Obispo, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pediatric Endocrinology cover?
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the…
How do I contact Thomas Wilson, M.D.?
The phone number on file with NPPES is (805) 546-7692, last updated May 19, 2020. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Thomas Wilson, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1063454080 a valid number?
Yes. 1063454080 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.