Johanna Jacoba Verwilghen, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

4301077528 Issued in MI

Practice address

16815 E Jefferson Ave
Suite 220
Grosse Pointe, MI 48230-1923

Phone

(313) 831-1100

Fax

(313) 831-1177

NPI assigned

Jun 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

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

Internal Medicine

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Harper University Hospital Hospital, Detroit, MI, CCN 230104
• Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jverwilg@direct.dmc.org

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.

• Johanna J Verwilghen MD PLLC

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1700054210

  Internal Medicine, MI

  Medicare reassignment NPD Authorized official
• James J Glazier MD PC

  • Cardiovascular Disease Physician
  • Detroit, MI
  • NPI 1659448751

  Internal Medicine

  NPD (past)

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

• VHS Harper-Hutzel Hospital Inc

  • General Acute Care Hospital
  • Detroit, MI
  • NPI 1427360700

  Hospital

  Care Compare affiliation
• William Beaumont Hospital

  • Hospitalist Physician
  • Royal Oak, MI
  • NPI 1811044878

  Hospital

  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1316987142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16815 E JEFFERSON AVE",
            "address_2": "SUITE 220",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301923",
            "telephone_number": "313-831-1100",
            "fax_number": "313-831-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16815 E JEFFERSON AVE",
            "address_2": "SUITE 220",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482301923",
            "telephone_number": "313-831-1100",
            "fax_number": "313-831-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERWILGHEN",
        "first_name": "JOHANNA",
        "middle_name": "JACOBA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301077528",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MI",
            "license": "4301077528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1108235412",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMC",
            "identifier": "026068",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawna Marie Urban, M.S., CCC-SLP
• Kevin Anh Tai Van, MD
• Jaime L. Vande Veegaete, D.C.
• Janet G Ventimiglia, PT
• Edward John Vermet, DDS
• Allison Vorce, PA-C
• Leslie Ann Wagner, PH.D.
• Mark B. Wagner, CRNA
• Walker Wellness
• Angela Walker, DO

• All providers in Grosse Pointe, MI
• Rheumatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.