Active NPI
Michael H Wilensky, M.D.
- Specialist
- Aventura, FL
National Provider Identifier
1609967512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME-0033139
- Practice address
- 17971 Biscayne Blvd
Suite 108
Aventura, FL 33160-2578 - Phone
- (305) 948-8825
- Fax
- (305) 466-7045
- NPI assigned
- Sep 27, 2006
- Last updated
- Apr 7, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME-0033139 | FL | Primary |
Addresses
Primary practice location
17971 Biscayne Blvd
Suite 108
Aventura, FL 33160-2578
Mailing address
17971 Biscayne Blvd
Suite 108
Aventura, FL 33160-2578
Phone (305) 948-8825
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932373958 | Other | FL | MEDICARE NPI |
| 95466 | Other | FL | BLUE SHIELD NUMBER |
| ME0033139 | Other | FL | MEDICAL LICENSE NUMBER |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME-0033139 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Wilensky MD PA | Specialist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Aventura, FL
- NPI 1932373958
-
- Specialist
- Aventura, FL
- NPI 1518268432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239062400000",
"number": "1609967512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17971 BISCAYNE BLVD",
"address_2": "SUITE 108",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331602578",
"telephone_number": "305-948-8825",
"fax_number": "305-466-7045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17971 BISCAYNE BLVD",
"address_2": "SUITE 108",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331602578",
"telephone_number": "305-948-8825",
"fax_number": "305-466-7045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILENSKY",
"first_name": "MICHAEL",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2009-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME-0033139",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NPI",
"identifier": "1932373958",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD NUMBER",
"identifier": "95466",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE NUMBER",
"identifier": "ME0033139",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.