Active NPI
Michael K Wilensky, MD
- Cardiovascular Disease Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 00016366
- Practice address
- 2700 10TH Ave South
Building 2 Ste 305
Birmingham, AL 35205 - Phone
- (205) 939-7100
- NPI assigned
- Apr 19, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | MD.16366 | AL | |
| Cardiovascular Disease Physician | 207RC0000X | 00016366 | AL | Primary |
Addresses
Primary practice location
2700 10TH Ave South
Building 2 Ste 305
Birmingham, AL 35205
Mailing address
801 Princeton Ave SW
Suite 707
Birmingham, AL 35211-1310
Phone (205) 780-4330
Other practice location 1
801 Princeton Ave SW
Suite 707
Birmingham, AL 35211-1310
Phone (205) 780-4330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000022816 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00016366 | AL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vincentian Physician Services LLC | Current | Accepting new patients | |
| Nephrology Medical Associates of Georgia LLC | Past | Accepting new patients |
Locations
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
2700 10th Ave S
Ste 305
Birmingham, AL 35205
Phone (205) 418-1200
1870 Chace Dr
Ste 160
Hoover, AL 35244
Phone (205) 733-7110
Interoperability endpoints
- michaelwilensky@cpc.allscriptsdirect.net
- michael.wilensky.1@9069.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Birmingham, AL
- NPI 1851698310
-
- Nephrology Physician
- Hermiston, OR
- NPI 1093775645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582848000000",
"number": "1801851142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 PRINCETON AVE SW",
"address_2": "SUITE 707",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352111310",
"telephone_number": "205-780-4330",
"fax_number": "205-780-7775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 10TH AVE SOUTH",
"address_2": "BUILDING 2 STE 305",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35205",
"telephone_number": "205-939-7100"
}
],
"practiceLocations": [
{
"address_1": "801 Princeton Ave SW",
"address_2": "Suite 707",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352111310",
"country_code": "US",
"telephone_number": "205-780-4330",
"fax_number": "205-780-7775",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILENSKY",
"first_name": "MICHAEL",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2020-02-28",
"certification_date": "2020-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "AL",
"license": "MD.16366",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AL",
"license": "00016366",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000022816",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.