Individual provider Active NPI

Michael Roger Wiedmer, MD

  • Orthopaedic Surgery Physician
  • Anniston, AL
National Provider Identifier
1225027790
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD.23204 Issued in AL
Practice address
731 Leighton Ave
Suite 300
Anniston, AL 36207-5761
Phone
(256) 236-4121
Fax
(256) 237-5254
NPI assigned
Oct 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD.23204 AL Primary

Addresses

Primary practice location

731 Leighton Ave
Suite 300
Anniston, AL 36207-5761

Mailing address

PO Box 1765
Anniston, AL 36202-1765
Phone (256) 236-4121

Other identifiers 2

IdentifierTypeStateIssuer
051094128OtherALBLUE SHIELD
000094128MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20101025000297 AL Practitioner - Orthopedic Surgery 8820185408 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Alabama School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Orthopaedic Alliance PLLCGroup PAC ID 2365800604, 102 clinicians

Practice addresses (Care Compare)

731 Leighton Ave
Suite 300
Anniston, AL 36207-5762
Phone (256) 236-4121

Hospital & facility affiliations

  • Amedisys Home Health of Anniston Home health agency, Anniston, AL, CCN 017305
  • Northeast Alabama Regional Medical Center Hospital, Anniston, AL, CCN 010078

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement23
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Orthopaedic Alliance, PLLC Orthopaedic Surgery CurrentSince Jun 1, 2023 Accepting new patients
Anniston Orthopedics Associates PA Current Accepting new patients
Anniston Orthopedics Associates PA Orthopaedic Surgery CurrentSince Jan 18, 1995 Accepting new patients
Southern Orthopaedic Alliance PLLC Orthopaedic Surgery CurrentSince Jun 1, 2023 Accepting new patients
SSD, LLC PastSince Jul 1, 2000 Accepting new patients

Locations

731 Leighton Ave
Ste 300
Anniston, AL 36207
Phone (205) 236-4121

831 Hillcrest Rd
Mobile, AL 36695
Phone (251) 633-4949

1400 Highway Dr
Ste C
Oxford, AL 36203
Phone (205) 900-2000

1950 Main St
Roanoke, AL 36274
Phone (256) 236-4121

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1445

Organizations & group practices 5

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1225027790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1765",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362021765",
            "telephone_number": "256-236-4121",
            "fax_number": "256-237-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 LEIGHTON AVE",
            "address_2": "SUITE 300",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075761",
            "telephone_number": "256-236-4121",
            "fax_number": "256-237-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDMER",
        "first_name": "MICHAEL",
        "middle_name": "ROGER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "MD.23204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "051094128",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000094128",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.