NPIMap

Individual provider Active NPI

Karen Weaver, MD

  • Family Medicine Physician
  • Westland, MI
National Provider Identifier
1265412456
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301083883 Issued in MI
Practice address
2001 S Merriman Rd
Suite 100
Westland, MI 48186-5539
Phone
(734) 727-1000
NPI assigned
Jan 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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 4301083883 MI Primary

Addresses

Primary practice location

2001 S Merriman Rd
Suite 100
Westland, MI 48186-5539

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kweaver115311@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050210000293 MI Practitioner - Family Practice 6204728371 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Michigan Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakwood Ambulatory LLCGroup PAC ID 1850282914, 271 clinicians

Practice addresses (Care Compare)

2001 S Merriman Rd
100 Corewell Health Wayne Hospital Fami
Westland, MI 48186-5540
Phone (947) 522-1858

201 3Rd St
Suite 200
Belleville, MI 48111-2605
Phone (734) 697-9065

33155 Annapolis St
Wayne, MI 48184-2405
Phone (734) 467-4000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Ambulatory LLC Family Medicine CurrentSince Jan 1, 2005 Accepting new patients
Oakwood Healthcare Inc CurrentSince Apr 1, 2014 Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Jan 1, 2005 Accepting new patients
Oakwood Healthcare, Inc CurrentSince Apr 1, 2014 Accepting new patients
Oakwood Healthcare, Inc. Current Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
New Hanover Community Health Center Incorporated Past Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

26650 Eureka Rd
#C1
Taylor, MI 48180
Phone (734) 941-4991

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

2001 S Merriman Rd
Ste 100
Westland, MI 48186
Phone (734) 727-1000

Interoperability endpoints

  • Direct secure messaging: kweaver115311@direct.beaumont.edu

Organizations & group practices 7

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 6

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1265412456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S MERRIMAN RD",
            "address_2": "SUITE 100",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865539",
            "telephone_number": "734-727-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "KAREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301083883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kweaver115311@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "2001 S Merriman Rd",
            "address_2": "Suite 100",
            "city": "Westland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481865539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.