Individual provider Active NPI

Leonard Weinberger, FNP

  • Nurse Practitioner
  • Farmington Hills, MI
National Provider Identifier
1346707825
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704307393 Issued in MI
Practice address
32255 Northwestern Hwy Ste 165
Farmington Hills, MI 48334-1505
Phone
(248) 735-8272
Fax
(248) 735-7340
NPI assigned
Feb 21, 2019
Last updated
Feb 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704307393 MI Primary

Addresses

Primary practice location

32255 Northwestern Hwy Ste 165
Farmington Hills, MI 48334-1505

Mailing address

32255 Northwestern Hwy Ste 165
Farmington Hills, MI 48334-1505
Phone (248) 735-8272

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190509001223 MI Practitioner - Nurse Practitioner 2062755259 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Regenerative HealthGroup PAC ID 6406295849, 4 clinicians

Practice addresses (Care Compare)

2801 Elizabeth Lake Rd
Suite 100
Waterford, MI 48328-3281
Phone (248) 683-6260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704307393MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Regenerative Health Nurse Practitioner CurrentSince Mar 10, 2024 Accepting new patients
Kuldip S. Deogun, MD, PC Nurse Practitioner CurrentSince Jan 1, 2023 Accepting new patients

Locations

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

43145 Schoenherr Rd
Unit 13
Sterling Heights, MI 48313
Phone (586) 997-5048

2801 Elizabeth Lake Rd
Ste 100
Waterford, MI 48328
Phone (248) 683-6260

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1346707825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32255 NORTHWESTERN HWY STE 165",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341505",
            "telephone_number": "248-735-8272",
            "fax_number": "248-735-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32255 NORTHWESTERN HWY STE 165",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341505",
            "telephone_number": "248-735-8272",
            "fax_number": "248-735-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERGER",
        "first_name": "LEONARD",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704307393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.