Active NPI
Michael James Weindorf, DPM
- Podiatrist
- Salem, OR
National Provider Identifier
1356838825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- DP206331
- Practice address
- 1797 Timberline LN SE
Salem, OR 97306-9564 - Phone
- (833) 469-2692
- NPI assigned
- Apr 19, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | DP206331 | OR | Primary |
Addresses
Primary practice location
1797 Timberline LN SE
Salem, OR 97306-9564
Mailing address
1797 Timberline LN SE
Salem, OR 97306-9564
Phone (833) 469-2692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4770 SW Watson Ave
Beaverton, OR 97005-0511
Phone (503) 427-8967
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 103 |
| Removal of skin lesions | 200 |
| Removal of nail tissue | 2234 |
| Removal or shaving of skin growth | 1370 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DP206331 | OR | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridge City Foot & Ankle LLC | Podiatrist | Current | Accepting new patients |
Locations
4770 SW Watson Ave
Beaverton, OR 97005
Phone (503) 427-8967
Interoperability endpoints
- https://api.platform.athenahealth.com/24143/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Podiatrist
- Beaverton, OR
- NPI 1669074316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641859200000",
"number": "1356838825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1797 TIMBERLINE LN SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973069564",
"telephone_number": "833-469-2692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1797 TIMBERLINE LN SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973069564",
"telephone_number": "833-469-2692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEINDORF",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-19",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OR",
"license": "DP206331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.