Individual provider Active NPI

Daniel Weiss, MD FACP CDE

  • Internal Medicine Physician
  • Mentor, OH
National Provider Identifier
1437148590
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35053498 Issued in OH
Practice address
8300 Tyler Boulevard
Suite 102
Mentor, OH 44060-4251
Phone
(440) 266-5000
Fax
(440) 266-5004
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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 35053498 OH Primary

Addresses

Primary practice location

8300 Tyler Boulevard
Suite 102
Mentor, OH 44060-4251

Mailing address

PO Box 19160
Cleveland, OH 44119-0160
Phone (440) 833-4056

Other identifiers 1

IdentifierTypeStateIssuer
0626871MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050222000527 OH Practitioner - EndocrinologyPractitioner - Internal Medicine 0648234294 Reassigns benefits to 1 organization
I20230215000499 UT Practitioner - EndocrinologyPractitioner - Internal Medicine 0648234294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

1424 E Foremaster Dr
Suite 140
St George, UT 84790-5830
Phone (435) 251-2888

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35053498OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Mar 27, 2023 Accepting new patients
Ihc Health Services Inc Family Medicine CurrentSince Mar 27, 2023 Accepting new patients
Lake Hospital System, Inc Family Medicine CurrentSince Dec 31, 2019 Accepting new patients
Lake Hospital System Inc Family Medicine CurrentSince Dec 31, 2019 Accepting new patients
Your Diabetes Endocrine Nutrition Group, LLC Endocrinology, Diabetes & Metabolism PastSince Jan 17, 2003 Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

8300 Tyler Blvd
Ste 102
Mentor, OH 44060
Phone (440) 205-0242

8300 Tyler Blvd
Ste 300
Mentor, OH 44060
Phone (440) 205-1529

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1424 E Foremaster Dr
Ste 140
St George, UT 84790
Phone (435) 251-2888

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1437148590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19160",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441190160",
            "telephone_number": "440-833-4056",
            "fax_number": "440-833-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 TYLER BOULEVARD",
            "address_2": "SUITE 102",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604251",
            "telephone_number": "440-266-5000",
            "fax_number": "440-266-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "DANIEL",
        "credential": "MD FACP CDE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35053498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0626871",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.