Individual provider Active NPI

Niloufar Wilson, MD

  • Cardiovascular Disease Physician
  • New Smyrna Beach, FL
National Provider Identifier
1518070119
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
143954 Issued in FL
Practice address
161 N Causeway
Ste C
New Smyrna Beach, FL 32169
Phone
(386) 424-8440
Fax
(386) 426-8839
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 49062 MN
Cardiovascular Disease Physician 207RC0000X 143954 FL Primary
Cardiovascular Disease Physician 207RC0000X 102530 MN

Addresses

Primary practice location

161 N Causeway
Ste C
New Smyrna Beach, FL 32169

Mailing address

161 N Causeway
Ste C
New Smyrna Beach, FL 32169
Phone (386) 424-8440

Other practice location 1

303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709
Phone (386) 425-4000

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
I20200819001930 FL Practitioner - Cardiovascular Disease (Cardiology) 6901800077 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Utah School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wing Cardiology and Health LLCGroup PAC ID 1355587072, 2 clinicians
Florida Health Care Plan IncGroup PAC ID 9436201233, 97 clinicians

Practice addresses (Care Compare)

161 N Causeway
Suite C
New Smyrna Beach, FL 32169-5300
Phone (386) 424-8440

350 N Clyde Morris Blvd
Daytona Beach, FL 32114-2733
Phone (386) 238-3200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
143954FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Halifax Healthcare Systems Inc CurrentSince Aug 10, 2020 Accepting new patients
Wing Cardiology and Health LLC Cardiovascular Disease CurrentSince Jul 26, 2024 Accepting new patients
Florida Health Care Plan, Inc CurrentSince Aug 3, 2020 Accepting new patients
Florida Health Care Plan, Inc CurrentSince Aug 3, 2020 Accepting new patients

Locations

350 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 238-3200

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

161 N Causeway
Ste C
New Smyrna Beach, FL 32169
Phone (386) 402-7827

309 Palm Coast Pkwy NE
Palm Coast, FL 32137
Phone (386) 445-7073

740 Dunlawton Ave
Ste 200
Port Orange, FL 32127
Phone (386) 763-1000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAIGDD/Endpoint/AAIGDD
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71377

Organizations & group practices 4

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 5

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1518070119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 N CAUSEWAY",
            "address_2": "STE C",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "32169",
            "telephone_number": "386-424-8440",
            "fax_number": "386-426-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 N CAUSEWAY",
            "address_2": "STE C",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "32169",
            "telephone_number": "386-424-8440",
            "fax_number": "386-426-8839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 N Clyde Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321142709",
            "country_code": "US",
            "telephone_number": "386-425-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "NILOUFAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "49062",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "143954",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "102530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

Verify at the official NPI Registry.