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

Theodore Ernest Wilson, MD

Individual provider Pediatrics Physician · NPI 1699035030

Theodore Ernest Wilson, MD is a Pediatric Medicine in Louisville, Kentucky. Graduated from University of Colorado School of Medicine, Denver in 2012, 14 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Indiana, Kentucky and Maryland.

Years since qualifying
14
Trained at
University of Colorado School of Medicine, Denver
Licensed in
IN, KY, MD
In the registry since
2012
Specialties on file
4
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

411 E Chestnut St
Louisville, KY 40202-1713
Phone: (502) 588-0850
Fax: (502) 588-0861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1002 Wishard Blvd, Indianapolis, IN 46202-4163 — (317) 944-3966
  • 550 University Blvd, Indianapolis, IN 46202-5149 — (317) 944-3966
  • 2401 W Belvedere Ave, Baltimore, MD 21215-5216 — (410) 601-6308

Specialties & licences

Clinical Genetics (M.D.) Physician (primary) Taxonomy 207SG0201X · Licence TP230 (KY)
Pediatrics Physician Taxonomy 208000000X · Licence 01079354A (IN)
Clinical Genetics (M.D.) Physician Taxonomy 207SG0201X · Licence 01079354A (IN)
Pediatrics Physician Taxonomy 208000000X · Licence P27658 (MD)

Record details

NPI number1699035030
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 18, 2012
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated 2012 (14 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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