Individual provider Active NPI

Henry Wodnicki, MD

  • Colon & Rectal Surgery Physician
  • Miami Beach, FL
National Provider Identifier
1124010020
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
ME41122 Issued in FL
Practice address
4306 Alton Rd
Comprehensive Cancer Center 2ND Floor
Miami Beach, FL 33140-2840
Phone
(305) 674-2177
Fax
(305) 674-2176
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X ME41122 FL Primary

Addresses

Primary practice location

4306 Alton Rd
Comprehensive Cancer Center 2ND Floor
Miami Beach, FL 33140-2840

Mailing address

4306 Alton Rd
Comprehensive Cancer Center 2ND Floor
Miami Beach, FL 33140-2840
Phone (305) 674-2177

Other identifiers 1

IdentifierTypeStateIssuer
037435100MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100610000669 FL Practitioner - Colorectal Surgery (Proctology) 4789617549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Albany Medical College of Union University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Practices of MSMC LLCGroup PAC ID 9436336120, 180 clinicians

Practice addresses (Care Compare)

4302 Alton Rd
Miami Beach, FL 33140-2818

4306 Alton Rd
Miami Beach, FL 33140-2840

4306 Alton Rd
2ND Floor
Miami Beach, FL 33140-2800

4310 Alton Rd
3Rd Floor
Miami Beach, FL 33140-2800
Phone (305) 535-3300

Hospital & facility affiliations

  • Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy65
Hernia repair (minimally invasive)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME41122FLMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Practices of MSMC, LLC CurrentSince Apr 1, 2013 Accepting new patients

Locations

4302 Alton Rd
Ste 300
Miami Beach, FL 33140
Phone (305) 672-9989

4302 Alton Rd
Ste 510
Miami Beach, FL 33140
Phone (305) 531-0672

4306 Alton Rd
Fl 2
Miami Beach, FL 33140
Phone (305) 535-3349

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/
  • Direct secure messaging: hwodnicki5471@direct.msmc.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1124010020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 ALTON RD",
            "address_2": "COMPREHENSIVE CANCER CENTER 2ND FLOOR",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402840",
            "telephone_number": "305-674-2177",
            "fax_number": "305-674-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 ALTON RD",
            "address_2": "COMPREHENSIVE CANCER CENTER 2ND FLOOR",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402840",
            "telephone_number": "305-674-2177",
            "fax_number": "305-674-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WODNICKI",
        "first_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME41122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037435100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.