Individual provider Active NPI

Michael K Wilensky, MD

  • Cardiovascular Disease Physician
  • Birmingham, AL
National Provider Identifier
1801851142
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
00016366 Issued in AL
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

Updated by the provider on Feb 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000022816MedicaidAL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100720000459 AL Practitioner - Cardiovascular Disease (Cardiology) 2466545652 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00016366ALMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vincentian Physician Services LLC CurrentSince Apr 1, 2019 Accepting new patients
Nephrology Medical Associates of Georgia LLC PastSince Mar 3, 1995 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

  • Direct secure messaging: michaelwilensky@cpc.allscriptsdirect.net
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.