Active NPI
Niluka Shyamalie Weerakoon, M.D.
- Internal Medicine Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301096870
- Practice address
- 26677 W 12 Mile Rd # B6
Southfield, MI 48034-1514 - Phone
- (248) 354-4709
- Fax
- (248) 354-4807
- NPI assigned
- Jul 21, 2010
- Sex
- Female
- 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 | 4301096870 | MI | Primary |
Addresses
Primary practice location
26677 W 12 Mile Rd # B6
Southfield, MI 48034-1514
Mailing address
28411 Northwestern Hwy
Suite 1050
Southfield, MI 48034-5544
Phone (248) 354-4709
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300
6071 W Outer Dr
Detroit, MI 48235-2624
Phone (313) 966-3300
Hospital & facility affiliations
- Henry Ford Hospice
- Henry Ford Macomb Hospital
- Henry Ford Health Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.87 of 100
- Quality
- 52.13
- Improvement activities
- 40
- Cost
- 66.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Academic Internal Medicine Specialists PLLC | Internal Medicine | Current | Accepting new patients |
| Henry Ford Macomb Hospital Corporation | Past | Accepting new patients |
Locations
6071 W Outer Dr
Ste 7
Detroit, MI 48235
Phone (313) 966-3300
26677 W 12 Mile Rd
Ste B6
Southfield, MI 48034
26677 W 12 Mile Rd
#B6
Southfield, MI 48034
Phone (248) 354-4709
28411 Northwestern Hwy
Ste 1050
Southfield, MI 48034
Phone (248) 354-4709
Interoperability endpoints
- nweerakoon218739@direct.hfhs.org
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1346398971
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Community Based Hospice Care Agency
- Detroit, MI
- NPI 1427081694
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1487967279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28411 NORTHWESTERN HWY",
"address_2": "SUITE 1050",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480345544",
"telephone_number": "248-354-4709",
"fax_number": "248-354-4807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26677 W 12 MILE RD # B6",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341514",
"telephone_number": "248-354-4709",
"fax_number": "248-354-4807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEERAKOON",
"first_name": "NILUKA",
"middle_name": "SHYAMALIE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-21",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301096870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.