Individual provider Active NPI

Gregory Eugene Weisenberger, M.D.

  • Internal Medicine Physician
  • Reynoldsburg, OH
National Provider Identifier
1154329647
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35045327 Issued in OH
Practice address
2300 Baltimore Reynoldsburg Rd # 200
Reynoldsburg, OH 43068-8030
Phone
(614) 627-1375
Fax
(614) 864-8646
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35045327 OH Primary

Addresses

Primary practice location

2300 Baltimore Reynoldsburg Rd # 200
Reynoldsburg, OH 43068-8030

Mailing address

7657 E Main St
Reynoldsburg, OH 43068-1243
Phone (614) 864-8500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gweisenberger1148001@direct.trinty-health.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100325000666 OH Practitioner - Internal Medicine 2466588769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mount Carmel Healthproviders IncGroup PAC ID 9537073804, 140 clinicians

Practice addresses (Care Compare)

2300 Baltimore Reynoldsburg Rd
Suite 200
Reynoldsburg, OH 43068-8030
Phone (614) 627-1375

55 N High St
New Albany, OH 43054-7099
Phone (614) 627-1878

Hospital & facility affiliations

  • Mount Carmel Home Care Home health agency, Columbus, OH, CCN 367273
  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Diley Ridge Medical Center Hospital, Canal Winchester, OH, CCN 360358
  • Robert a Barnes Center Nursing home, Reynoldsburg, OH, CCN 366411

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Health Providers Inc CurrentSince Jun 1, 2013 Accepting new patients
Reynoldsburg Internal Medicine,Inc Internal Medicine CurrentSince Oct 1, 1984 Accepting new patients
Mount Carmel Healthproviders Inc Internal Medicine CurrentSince Jun 1, 2013 Accepting new patients

Locations

6150 E Broad St
Rm WD210
Columbus, OH 43213

55 N High St
New Albany, OH 43054
Phone (614) 627-1878

2300 Baltimore Reynoldsburg Rd
Ste 200
Reynoldsburg, OH 43068
Phone (614) 627-1375

7657 E Main St
Reynoldsburg, OH 43068
Phone (614) 759-1381

Interoperability endpoints

  • Direct secure messaging: gweisenberger1148001@direct.trinity-health.org

Organizations & group practices 3

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 5

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1154329647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7657 E MAIN ST",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430681243",
            "telephone_number": "614-864-8500",
            "fax_number": "614-864-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 BALTIMORE REYNOLDSBURG RD # 200",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430688030",
            "telephone_number": "614-627-1375",
            "fax_number": "614-864-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISENBERGER",
        "first_name": "GREGORY",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35045327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gweisenberger1148001@direct.trinty-health.org",
            "affiliation": "N",
            "endpointDescription": "Mount Carmel Health Columbus Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2300 Baltimore Reynoldsburg Rd # 200",
            "city": "Reynoldsburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430688030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

Verify at the official NPI Registry.