Individual provider Active NPI

Joel Richard Wussow, M.D.

  • Emergency Medicine Physician
  • Miami, FL
National Provider Identifier
1598023749
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
Q7814 Issued in TX
Practice address
465 Brickell Ave Apt 1002
Miami, FL 33131-4002
Phone
(214) 577-1827
NPI assigned
Apr 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME151025 FL
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X Q7814 TX Primary

Addresses

Primary practice location

465 Brickell Ave Apt 1002
Miami, FL 33131-4002

Mailing address

465 Brickell Ave Apt 1002
Miami, FL 33131-4002
Phone (214) 577-1827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160719002372 TX Practitioner - Emergency Medicine 5698068286 Reassigns benefits to 3 organizations
I20210817001932 FL Practitioner - Emergency Medicine 5698068286 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.33 of 100Reported as group
Quality
74.13
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q7814TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Larkin Emergency Physicians LLC Emergency Medicine CurrentSince Aug 11, 2021 Accepting new patients
Truepartners Northwest Emergency Associates PLLC Emergency Medicine CurrentSince May 1, 2017 Accepting new patients
Acute Care Specialists Emergency Medicine CurrentSince Jul 7, 2022 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Oct 15, 2023 Accepting new patients
Thse - Marco Urgent Care LLC CurrentSince May 1, 2023 Accepting new patients
Southwest Florida Emergency Management LLC Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Basin Emergency Physicians PLLC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients

Locations

1475 W 49th St
Hialeah, FL 33012
Phone (305) 824-4761

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

40 S Heathwood Dr
Marco Island, FL 34145
Phone (239) 393-4079

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

387 W Interstate 10
Fort Stockton, TX 79735
Phone (432) 336-2004

323 E Hawkins Pkwy
Longview, TX 75605
Phone (903) 315-2000

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 7

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": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1598023749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 BRICKELL AVE APT 1002",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331314002",
            "telephone_number": "214-577-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 BRICKELL AVE APT 1002",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331314002",
            "telephone_number": "214-577-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WUSSOW",
        "first_name": "JOEL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-25",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME151025",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q7814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.