Active NPI
David E Weissman, MD
- Internal Medicine Physician
- Beverly Hills, MI
National Provider Identifier
1366433054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301075876
- Practice address
- 15590 W 13 Mile Rd
Ste B
Beverly Hills, MI 48025-5642 - Phone
- (248) 483-5300
- Fax
- (248) 483-5301
- NPI assigned
- Nov 2, 2005
- Last updated
- Oct 20, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301075876 | MI | Primary |
Addresses
Primary practice location
15590 W 13 Mile Rd
Ste B
Beverly Hills, MI 48025-5642
Mailing address
15590 W 13 Mile Rd
Ste B
Beverly Hills, MI 48025-5642
Phone (248) 483-5300
Other practice location 1
3535 W 13 Mile Rd Ste Ll
Royal Oak, MI 48073-6770
Phone (248) 551-1210
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dweissman12001@direct.beaumont.edu |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260327000271 | MI | Order and Referring Only - Internal Medicine | 2668468414 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301075876 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Medicine PC | Internal Medicine | Past | Accepting new patients |
| Cardiology and Vascular Associates PC | Past | Accepting new patients |
Interoperability endpoints
- dweissman12001@direct.beaumont.edu
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.
-
- Internal Medicine Physician
- Royal Oak, MI
- NPI 1467506832
-
- Internal Medicine Physician
- Berkley, MI
- NPI 1366488967
-
dba Medical Care corporation
- Family Nurse Practitioner
- Bloomfield Hills, MI
- NPI 1740473396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1366433054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15590 W 13 MILE RD",
"address_2": "STE B",
"city": "BEVERLY HILLS",
"state": "MI",
"postal_code": "480255642",
"telephone_number": "248-483-5300",
"fax_number": "248-483-5301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15590 W 13 MILE RD",
"address_2": "STE B",
"city": "BEVERLY HILLS",
"state": "MI",
"postal_code": "480255642",
"telephone_number": "248-483-5300",
"fax_number": "248-483-5301"
}
],
"practiceLocations": [
{
"address_1": "3535 W 13 Mile Rd Ste Ll",
"address_purpose": "LOCATION",
"city": "Royal Oak",
"state": "MI",
"postal_code": "480736770",
"country_code": "US",
"telephone_number": "248-551-1210",
"fax_number": "248-551-2032",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEISSMAN",
"first_name": "DAVID",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301075876",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dweissman12001@direct.beaumont.edu",
"affiliation": "N",
"address_1": "3535 W 13 Mile Rd Ste Ll",
"city": "Royal Oak",
"state": "MI",
"country_code": "US",
"postal_code": "480736770",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Beverly Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.