Individual provider Active NPI

Michael H Wilensky, M.D.

  • Specialist
  • Aventura, FL
National Provider Identifier
1609967512
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME-0033139 Issued in FL
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1932373958OtherFLMEDICARE NPI
95466OtherFLBLUE SHIELD NUMBER
ME0033139OtherFLMEDICAL 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

LicenseStateTypeSpecialty
ME-0033139FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Wilensky MD PA Specialist PastSince Dec 1, 1981 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.

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.

Verify at the official NPI Registry.