KIM L. WILDE MD – NPI #1891744140
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Health Care Provider Taxonomy Code for Internal Medicine

KIM WILDE is a physician located in DULUTH, MN. NPPES has assigned the NPI number 1891744140 to KIM WILDE on May 06, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 6 years ago on Dec 04, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KIM WILDE below.

NPI Profile for
KIM L. WILDE

NPI Number
1891744140
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KIM L. WILDE
Credentials
MD
Primary location
1001 E SUPERIOR ST STE L401
DULUTH, MN 55802
Phone: (218) 249-7960 Fax: (218) 249-7997
1 Other location(s):
506 1st Ave SE
Watertown, SD 57201-4402
Phone: (605) 886-8482
Fax: (605) 884-4300
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Dec 04, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KIM WILDE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSD6000743
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)		 SD 2534

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1001 E SUPERIOR ST STE L401,
DULUTH, MN 77025-1669

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KIM WILDE is affiliated with the following medical group(s):
  • HOSPITAL
    • ESSENTIA HEALTH VIRGINIA
      901 9TH STREET NORTH
      VIRGINIA, MN 55792
    • ST LUKES HOSPITAL
      915 EAST 1ST STREET
      DULUTH, MN 55805
  • NURSING HOME
    • THE NORTH SHORE ESTATES LLC
      7700 GRAND AVENUE
      DULUTH, MN 55807
    • THE WATERVIEW PINES LLC
      1201 8TH STREET SOUTH
      VIRGINIA, MN 55792
    • VIEWCREST HEALTH CENTER
      3111 CHURCH STREET
      DULUTH, MN 55811
  • HOSPICE
    • ST LUKES HOSPICE DULUTH
      220 NORTH SIXTH AVENUE EAST
      DULUTH, MN 55805

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.