Individual provider Active NPI

David E Weissman, MD

  • Internal Medicine Physician
  • Beverly Hills, MI
National Provider Identifier
1366433054
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301075876 Issued in MI
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260327000271 MI Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 2668468414

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301075876MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Medicine PC Internal Medicine Past Accepting new patients
Cardiology and Vascular Associates PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.