Individual provider Active NPI

John P Wilkerson Jr., MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Coral Gables, FL
National Provider Identifier
1285699397
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
ME82518 Issued in FL
Practice address
6705 Red Road
Suite 418
Coral Gables, FL 33143-3644
Phone
(305) 669-4426
Fax
(305) 669-4183
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME82518 FL
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X ME82518 FL Primary

Addresses

Primary practice location

6705 Red Road
Suite 418
Coral Gables, FL 33143-3644

Mailing address

P.O. Box 431050
Miami, FL 33243-1060
Phone (305) 669-4426

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
I20040812000928 FL Practitioner - Orthopedic Surgery 5799757357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Virginia Commonwealth University, School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Specialists of South Miami, IncGroup PAC ID 5698739118, 2 clinicians

Practice addresses (Care Compare)

6705 S Red Rd
Suite 418
South Miami, FL 33143-3644
Phone (305) 669-4426

Hospital & facility affiliations

  • American Home Health Providers Corp Home health agency, Hialeah, FL, CCN 109554
  • Doctors Hospital Hospital, Coral Gables, FL, CCN 100296

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Specialists of South Miami, Inc Orthopaedic Surgery CurrentSince Sep 21, 2004 Accepting new patients

Locations

7600 SW 87th Ave
Ste 200
Miami, FL 33173
Phone (305) 512-4153

6705 SW 57th Ave
Ste 418
South Miami, FL 33143
Phone (305) 669-4426

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DECDAD/Endpoint/DECDAD

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 2

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1285699397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 431050",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "332431060",
            "telephone_number": "305-669-4426",
            "fax_number": "305-669-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 RED ROAD",
            "address_2": "SUITE 418",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331433644",
            "telephone_number": "305-669-4426",
            "fax_number": "305-669-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME82518",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME82518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.