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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SCUDERIA SPINALE, PLLC
NPI 1104441989
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Jenks, OK

Active since June 08, 2020
505 E MAIN ST, JENKS, OK 74037(918) 813-3901(918) 209-4915 Get Directions Write a Review

NPPES record last updated: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 29, 2026, Oct 22, 2021, Jun 19, 2020 and 1 more (4 updates tracked since 2020).

About Scuderia Spinale, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCUDERIA SPINALE, PLLC (NPI 1104441989) is a healthcare organization registered as an orthopaedic surgery of the spine in Jenks, Oklahoma and active in the NPI registry since June 2020. The organization lists Fernando Luis Villamil Wiscovitch, Provider, as its authorized official.

NPPES Registry Identity

NPI1104441989
Entity TypeOrganization
Primary Taxonomy207XS0117X
Legal Business NameSCUDERIA SPINALE, PLLC
Location Address505 E MAIN STJenks, OK 74037-4136
Mailing Address505 E Main StJenks, OK 74037-4136 · (918) 813-3901 · Fax (918) 209-4915
Phone(918) 813-3901
Fax(918) 209-4915
Organization SubpartNo
Authorized OfficialFernando Luis Villamil WiscovitchProvider · (918) 813-3901
Enumeration DateJune 8, 2020
Last NPPES UpdateOctober 29, 20264 updates tracked since enumeration
NPPES CertifiedOctober 29, 2026
✔ NPI 1104441989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
505 E MAIN ST, Jenks, OK 74037
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scuderia Spinale, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Scuderia Spinale, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Fernando Villamil, M.D.
Orthopedic Surgery
NPI 1982647418
35 AVE LUIS MUNOZ RIVERA CARIBE PLAZA APARTMENT 1604
San Juan, PR 00901
(787) 922-3310
✔ PECOS✔ Accepts Medicare2,190 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scuderia Spinale, PLLC's NPI number?

The NPI number for Scuderia Spinale, PLLC is 1104441989. It was assigned to this organization in the NPPES registry on June 8, 2020.

Where is Scuderia Spinale, PLLC located?

Scuderia Spinale, PLLC is located at 505 E Main St, Jenks, OK 74037. The listed phone number is (918) 813-3901.

What is Scuderia Spinale, PLLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Scuderia Spinale, PLLC enrolled in Medicare?

Yes. Scuderia Spinale, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Scuderia Spinale, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Scuderia Spinale, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Scuderia Spinale, PLLC was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.