David E Weissman, MD
Individual provider Active NPI Internal Medicine Physician · Beverly Hills, MI
NPI 1366433054 · NPPES record last updated Oct 20, 2020
Key facts
- NPI
- 1366433054
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 4301075876 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260327000271 | MI | Order and Referring Only - Internal Medicine |
2668468414 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301075876 | MI | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4225125 | Medicaid | MI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dweissman12001@direct.beaumont.edu |
Other providers in Beverly Hills, MI
- Joseph M Vitale
- Sylvia Leah Voelker
- Karen Alyse Waldrop
- Carla Renee Washington-Faye
- Louise Watson
- Amy E Whitten
- Brett Peter Wiater
- J Michael Wiater
- Jerome P Wiater
- Mary C Wiater
All providers in Beverly Hills, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.