Individual provider Active NPI

Emma Weismann, MD

  • Pediatrics Physician
  • Valparaiso, IN
National Provider Identifier
1073075933
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01088978A Issued in IN
Practice address
1111 Glendale Blvd Ste 101
Valparaiso, IN 46383-3791
Phone
(219) 462-0555
NPI assigned
Apr 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01088978A IN Primary

Addresses

Primary practice location

1111 Glendale Blvd Ste 101
Valparaiso, IN 46383-3791

Mailing address

1111 Glendale Blvd Ste 101
Valparaiso, IN 46383-3791
Phone (219) 462-0555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190911002122 NY Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 8022347376

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01088978AINMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Pediatricians, LLC Pediatrics PastSince Dec 8, 2024 Accepting new patients
Associated Pediatricians, LLC Past Accepting new patients

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1073075933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 GLENDALE BLVD STE 101",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833791",
            "telephone_number": "219-462-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GLENDALE BLVD STE 101",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833791",
            "telephone_number": "219-462-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISMANN",
        "first_name": "EMMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01088978A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.