CORNELIUS A WILSON (M.D.) – Adolescent Medicine (Internal Medicine) Physician, NPI 1215032586

CORNELIUS A WILSON (M.D.) is a healthcare provider. based in Houston, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. J2845 (TX). The NPI Number for CORNELIUS A WILSON (M.D.) is 1215032586

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
CORNELIUS A WILSON (M.D.)
NPI
1215032586
Phone
(713) 450-4455
Address
12739 WOODFOREST BLVD STE 2
Enumeration Date
13 September 2006
Last Update Date
9 March 2026

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
7134504455
Graduation Year
1988 (38 years ago)
PAC ID
1759360837
Professional Enrollment ID
I20040714000753
Address ID
TX770152737HO12739BLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

13,297 INTERNAL MEDICINE in TX

Provider Addresses for CORNELIUS A WILSON (M.D.)

  • 12739 WOODFOREST BLVD STE 2

    HOUSTON, TX 770152737

    Phone: (713) 450-4455

    Fax: (713) 450-4737

    Type: Location

  • 902, Normandy Street, Greens Bayou, Houston, Harris County, Texas, 77015, United States

    STE 100

    HOUSTON, TX 770154952

    Phone: (713) 450-4455

    Fax: (713) 450-4737

    Type: Location

  • PO BOX 24308

    HOUSTON, TX 772294308

    Phone: (713) 450-4455

    Fax: (713) 450-4737

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $182.

Total Amount is formed as General ($182) + Research ($0) + Ownership ($0) = $182.

Last reported payment date: 2024-04-22 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($34).

Total Amount

$182

General + Research + Ownership

Payments

10

Total payment records

General Amount

$182

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-22

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-07-14

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
I20040714000753IInternal MedicineTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes4224$0
36415Insertion of needle into vein for collection of blood sample2420$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1212$0
View full utilization report →

Insurance plans in this area (ZIP 77015)

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Reviews

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Frequently asked questions

What unique ID ties claims to CORNELIUS A WILSON (M.D.)?
NPI 1215032586 is assigned to CORNELIUS A WILSON (M.D.) under the national enumeration system.
Is CORNELIUS A WILSON (M.D.) active in the national directory?
CORNELIUS A WILSON (M.D.)'s public NPI profile is in an active state.
What kind of provider is CORNELIUS A WILSON (M.D.)?
The page reflects Adolescent Medicine (Internal Medicine) Physician for CORNELIUS A WILSON (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for CORNELIUS A WILSON (M.D.)?
We surface Houston, Texas for CORNELIUS A WILSON (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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