Michael J Wahl, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

ME0062494 Issued in FL

Practice address

13910 Lakeshore Blvd
Suite 140
Hudson, FL 34667-1481

Phone

(727) 869-9300

Fax

(727) 869-0636

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Cardiac SurgeryAlso: Thoracic Surgery, Vascular Surgery

Education

Georgetown University School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Florida Cardiology Network, LLCGroup PAC ID 8729260641, 83 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• TGH Home Care Powered by Vna Florida Home health agency, Trinity, FL, CCN 687192
• Visiting Nurse Association of Florida Inc Home health agency, Weeki Wachee, FL, CCN 107609
• HCA Florida Bayonet Point Hospital Hospital, Hudson, FL, CCN 100256
• Morton Plant North Bay Hospital Hospital, New Port Richey, FL, CCN 100063
• HCA Florida Trinity Hospital Hospital, Trinity, FL, CCN 100191

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (3 of 5)

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14714/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/4692/brand/27/csg/1/fhir/r4
• Direct secure messaging: michael.wahl@hca4.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michael Wahl MD PA

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Hudson, FL
  • NPI 1144415126
  Medicare reassignment NPD Authorized official
• West Florida Cardiology Network, LLC

  • Cardiovascular Disease Physician
  • Saint Petersburg, FL
  • NPI 1801198023
  Medicare reassignment Care Compare group NPD
• Cardiology Consultants

  • Specialist
  • St Petersburg, FL
  • NPI 1811940802
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HCA Health Services of Florida, Inc.

  • General Acute Care Hospital
  • Hudson, FL
  • NPI 1992759419
  Care Compare affiliation
• Morton Plant Hospital Association Inc

  • General Acute Care Hospital
  • New Port Richey, FL
  • NPI 1437135811
  Care Compare affiliation
• New Port Richey Hospital Inc

  • General Acute Care Hospital
  • Trinity, FL
  • NPI 1891741849
  Care Compare affiliation
• Visiting Nurse Association of Florida Inc

  • Home Health Agency
  • Stuart, FL
  • NPI 1104829696
  Care Compare affiliation
• Visiting Nurse Community Care of the West Coast, Inc.

  • Home Health Agency
  • Tampa, FL
  • NPI 1770586257
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1114017142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13910 LAKESHORE BLVD",
            "address_2": "SUITE 140",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346671481",
            "telephone_number": "727-869-9300",
            "fax_number": "727-869-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13910 LAKESHORE BLVD",
            "address_2": "SUITE 140",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346671481",
            "telephone_number": "727-869-9300",
            "fax_number": "727-869-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHL",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME0062494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370704100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PGBA - RAILROAD MEDICARE",
            "identifier": "P00444360",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280177900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002224500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisabeth Viera
• Jacob Vilker, DO
• VMD Primary Providers Central Florida PLLC
• Shannon Renee Vujinovic, CRDH, BASDH
• Hector Vydas
• Rachel Marie Waite, RN
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Timothy Ray Walendzik, LMT
• Walgreen Co

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Hudson, FL
• Providers in Hudson, FL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.