Individual provider Active NPI

Niluka Shyamalie Weerakoon, M.D.

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1487967279
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301096870 Issued in MI
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

Updated by the provider on Sep 29, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130826000679 MI Practitioner - Internal Medicine 0840433702 Reassigns benefits to 1 organization

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
Academic Internal Medicine Specialists PLLCGroup PAC ID 8123121969, 19 clinicians

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 Hospice, Detroit, MI, CCN 231517
  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

Merit-based Incentive Payment System (MIPS)

Final score
72.87 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Academic Internal Medicine Specialists PLLC Internal Medicine CurrentSince Jul 1, 2013 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.