Michael Irving Weitzen, D.O.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

218511 Issued in NY

Practice address

777 N Broadway
Suite 204
Sleepy Hollow, NY 10591-1000

Phone

(914) 631-3660

Fax

(914) 631-0290

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General Surgery

Education

University of Kansas School of Med (KC/Wich/Sal), 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Phelps Hospital Hospital, Sleepy Hollow, NY, CCN 330261

Merit-based Incentive Payment System (MIPS)

Final score

93.07 of 100Reported as apm

Quality

79.77

Promoting interoperability

88.77

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

Interoperability endpoints

• Direct secure messaging: mweitzen27453@northwell.direct-ci.com

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.

• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment Care Compare group NPD
• Phelps Memorial Hospital Association

  • General Acute Care Hospital
  • Sleepy Hollow, NY
  • NPI 1720185267
  NPD (past)

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

• Phelps Memorial Hospital Association

  • General Acute Care Hospital
  • Sleepy Hollow, NY
  • NPI 1720185267
  Care Compare affiliation

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1255350054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N BROADWAY",
            "address_2": "SUITE 204",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911000",
            "telephone_number": "914-631-3660",
            "fax_number": "914-631-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N BROADWAY",
            "address_2": "SUITE 204",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911000",
            "telephone_number": "914-631-3660",
            "fax_number": "914-631-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITZEN",
        "first_name": "MICHAEL",
        "middle_name": "IRVING",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "218511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0265578",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig Warren Walters, RN
• Xuejun Alice Wang, MD
• Carolyn Wasserheit-Lieblich, MD
• Jay M Weinberger, M.D.
• Joni Weinstock, PHD
• Westchester Gastroentrology Associates, PC
• Westchester Hyperbaric Medicine and Wound Care, PC
• Westchester Internal Medicine PC
• Westchester Mental Health Counseling, P.C.
• Westchester OB GYN, P.C.

• Surgery Physician in Sleepy Hollow, NY
• Providers in Sleepy Hollow, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.