Individual provider Active NPI

David P Weismantel, M.D.

  • Family Medicine Physician
  • Lansing, MI
National Provider Identifier
1063444784
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301075193 Issued in MI
Practice address
1200 E Michigan Ave
Suite 245 C
Lansing, MI 48912-1800
Phone
(517) 364-5710
Fax
(517) 364-5718
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301075193 MI Primary

Addresses

Primary practice location

1200 E Michigan Ave
Suite 245 C
Lansing, MI 48912-1800

Mailing address

1200 E Michigan Ave
Suite 245 C
Lansing, MI 48912-1800
Phone (517) 364-5710

Other identifiers 1

IdentifierTypeStateIssuer
4128177MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20061201000338 MI Practitioner - Family Practice 8527066489 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Michigan Medical School, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Msu Health Care Inc.Group PAC ID 8628404936, 201 clinicians

Practice addresses (Care Compare)

804 Service Rd
East Lansing, MI 48824-7015
Phone (517) 353-2562

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301075193MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan State University CurrentSince Oct 1, 1999 Accepting new patients
Edward W Sparrow Hospital Association Family Medicine CurrentSince Sep 1, 2006 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Michigan State University CurrentSince Oct 1, 1999 Accepting new patients
Edward W. Sparrow Hospital Association Family Medicine CurrentSince Sep 1, 2006 Accepting new patients
Msu Health Care Inc Current Accepting new patients
Michigan State University Family Medicine Current Accepting new patients
Msu Health Care Inc. CurrentSince Nov 1, 2022 Accepting new patients
Msu Health Care Inc Family Medicine CurrentSince Nov 1, 2022 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

804 Service Rd
Ste A225
East Lansing, MI 48824
Phone (517) 353-2562

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

4660 S Hagadorn Rd
Ste 420
East Lansing, MI 48823
Phone (517) 884-6100

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1200 E Michigan Ave
Ste 655
Lansing, MI 48912
Phone (517) 267-2460

1200 E Michigan Ave
Ste 775
Lansing, MI 48912
Phone (517) 364-5160

1200 E Michigan Ave
Ste 245A
Lansing, MI 48912
Phone (517) 364-5710

1200 E Michigan Ave
Ste 245
Lansing, MI 48912
Phone (517) 364-5710

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13693/brand/1/csg/1/fhir/r4
  • Direct secure messaging: david.weismantel.1@25394.direct.athenahealth.com

Organizations & group practices 9

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 2

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1063444784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE",
            "address_2": "SUITE 245 C",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121800",
            "telephone_number": "517-364-5710",
            "fax_number": "517-364-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE",
            "address_2": "SUITE 245 C",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121800",
            "telephone_number": "517-364-5710",
            "fax_number": "517-364-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISMANTEL",
        "first_name": "DAVID",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301075193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4128177",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.