Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Timothy Allen Wilson, MD

Individual provider Family Medicine Physician · NPI 1619173549

Dr. Timothy Allen Wilson, MD is a Family Practice in Kansas City, Missouri. Qualified in 1976, 50 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
50
Licensed in
MO
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8930 Evanston Ave
Kansas City, MO 64138-4732
Phone: (816) 617-1398
Fax: (816) 832-8236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9027 Sw 208th St, Trimble, MO 64492-7846 — (816) 790-3579

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X · Licence R3A87 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence R3A87 (MO)

Record details

NPI number1619173549
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 26, 2007
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesGERIATRIC MEDICINE
Medical schoolOTHER
Graduated 1976 (50 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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