KATHLEEN S WILSON (MD) – Molecular Genetic Pathology (Pathology) Physician, NPI 1184711582

KATHLEEN S WILSON (MD) is a healthcare provider. based in Dallas, Texas. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. J2416 (TX). The NPI Number for KATHLEEN S WILSON (MD) is 1184711582

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN S WILSON (MD)
NPI
1184711582
Phone
(214) 648-1620
Address
PO BOX 845347
Enumeration Date
6 October 2006
Last Update Date
7 January 2009

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
4694887000
Graduation Year
1991 (35 years ago)
PAC ID
3274606405
Group Practice PAC ID
0648188250
Professional Enrollment ID
I20080722000473
Address ID
TX752355202DA6202XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,395 PATHOLOGY in TX

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Provider Addresses for KATHLEEN S WILSON (MD)

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752845347

    Phone: (214) 648-1620

    Fax: (214) 648-4080

    Type: Mailing

  • Hamon Biomedical Research Building, 6000, Harry Hines Boulevard, Dallas, TX, Dallas, Dallas County, Texas, 75390, United States

    HAMON BLDG, ROOM NA2 508A

    DALLAS, TX 753900001

    Phone: (214) 648-1620

    Fax: (214) 648-4080

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-07-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080722000473IPathologyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88291Interpretation and report of genetic testing7371$0
88366Genetic sequencing localization, each multiplex procedure1212$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648188250View full group profile

Reviews

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Frequently asked questions

What identifier follows KATHLEEN S WILSON (MD) across health systems?
The NPI 1184711582 uniquely identifies KATHLEEN S WILSON (MD) in U.S. healthcare data.
Is KATHLEEN S WILSON (MD)'s NPI status active today?
Active status means KATHLEEN S WILSON (MD)'s NPI record is not deactivated in the public file.
What does the directory say KATHLEEN S WILSON (MD) does?
Insurance directories may phrase it differently, but here KATHLEEN S WILSON (MD) maps to Molecular Genetic Pathology (Pathology) Physician. Clinical services aligned with this taxonomy classification.
Is KATHLEEN S WILSON (MD) tied to Dallas, Texas?
If you are local to Dallas, Texas, KATHLEEN S WILSON (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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