Individual provider Active NPI

D. Michael Weill, D.P.M.

  • Podiatrist
  • North Hollywood, CA
National Provider Identifier
1043386980
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E2275 Issued in CA
Practice address
13115 Keswick St
North Hollywood, CA 91605-1921
Phone
(323) 462-1491
Fax
(323) 285-5444
NPI assigned
Nov 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E2275 CA Primary

Addresses

Primary practice location

13115 Keswick St
North Hollywood, CA 91605-1921

Mailing address

13115 Keswick St
North Hollywood, CA 91605-1921
Phone (323) 462-1491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080529000847 CA Practitioner - Podiatry 3375613649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13115 Keswick St
North Hollywood, CA 91605-1921
Phone (818) 308-7074

Hospital & facility affiliations

  • Pristine Home Health Inc Home health agency, Burbank, CA, CCN 058128

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
91.71
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1819
Removal or shaving of skin growth232

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E2275CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
D Michael Weill DPM - a Professional Corporation Podiatrist CurrentSince May 1, 2008 Accepting new patients

Locations

419 N Larchmont Blvd
Los Angeles, CA 90004
Phone (323) 307-1552

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1043386980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13115 KESWICK ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916051921",
            "telephone_number": "323-462-1491",
            "fax_number": "323-285-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13115 KESWICK ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916051921",
            "telephone_number": "323-462-1491",
            "fax_number": "323-285-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEILL",
        "first_name": "D.",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.