Individual provider Active NPI

Wilson T Asfora MD Frcsc PC, MD

  • Neurological Surgery Physician
  • Miami, FL
National Provider Identifier
1194706754
Registry record updated Apr 14, 2021
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(7) exclusion effective Apr 30, 2021.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
3404 Issued in SD
Practice address
900 Biscayne Blvd Apt 5501
Miami, FL 33132-1576
Phone
(305) 464-9797
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 340 SD
Neurological Surgery Physician 207T00000X 3404 SD Primary

Addresses

Primary practice location

900 Biscayne Blvd Apt 5501
Miami, FL 33132-1576

Mailing address

900 Biscayne Blvd Apt 5501
Miami, FL 33132-1576
Phone (305) 646-9797

Other practice location 1

1210 W 18th St
Suite 100
Sioux Falls, SD 57104-9890
Phone (605) 312-8500

Other practice location 2

2601 S Minnesota Avenue
Ste 105 Mb385
Sioux Falls, SD 57105
Phone (305) 646-9797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
340SDMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson T Asfora MD Frcsc PC Neurological Surgery CurrentSince Sep 20, 2020 Accepting new patients
Wilson T Asfora, MD, PC Neurological Surgery PastSince Mar 25, 2020 Accepting new patients

Locations

2601 S Minnesota Ave
Ste 105
Sioux Falls, SD 57105
Phone (305) 646-9797

6709 S Minnesota Ave
Ste 206A
Sioux Falls, SD 57108
Phone (305) 646-9797

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1194706754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 BISCAYNE BLVD APT 5501",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331321576",
            "telephone_number": "305-646-9797",
            "fax_number": "305-921-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BISCAYNE BLVD APT 5501",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331321576",
            "telephone_number": "305-464-9797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 W 18th St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571049890",
            "country_code": "US",
            "telephone_number": "605-312-8500",
            "fax_number": "605-312-8501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 S MINNESOTA AVENUE",
            "address_2": "STE 105 MB385",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "57105",
            "country_code": "US",
            "telephone_number": "305-646-9797",
            "fax_number": "305-921-6754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASFORA MD FRCSC PC",
        "first_name": "WILSON",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "SD",
            "license": "340",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "SD",
            "license": "3404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.