Thomas Wilson, M.D.
NPI 1063454080 · Pediatric Endocrinology Physician · San Luis Obispo, CA
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Wilson, M.D. is a Pediatric Endocrinology Physician provider in San Luis Obispo, CA (NPI 1063454080).
Provider details
- NPI number
- 1063454080
- Entity type
- Individual
- Primary specialty
- Pediatric Endocrinology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 151531 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- Stony Brook University HospitalStony Brook, NY 11794-0001Phone: (631) 444-3429Fax: (631) 444-6045
Registry dates
- Enumerated
- 2006-06-12
- Last updated
- 2020-05-19
- Certified
- 2020-05-19
Frequently asked questions
- What is Thomas Wilson's NPI number?
- Thomas Wilson's National Provider Identifier (NPI) is 1063454080, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Wilson's specialty?
- Thomas Wilson is listed in the NPPES registry with a primary specialty of Pediatric Endocrinology Physician (Allopathic & Osteopathic Physicians).
- Where is Thomas Wilson located?
- Thomas Wilson's practice location on file with NPPES is 1010 Murray Ave, San Luis Obispo, CA 93405-1806.
- What is Thomas Wilson's phone number?
- The practice phone number listed in the NPPES registry for Thomas Wilson is (805) 546-7692.
- Does Thomas Wilson accept Medicare?
- Thomas Wilson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Wilson's NPI active?
- Yes — Thomas Wilson's NPI (1063454080) is active in the NPPES registry as of the last update on 2020-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.