NPIMap

Individual provider Active NPI

David Robert Weidendorf, MD

  • Internal Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1497088876
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301095466 Issued in MI
Practice address
2200 Green Rd Ste B
Ann Arbor, MI 48105-1569
Phone
(734) 994-7446
Fax
(734) 623-8595
NPI assigned
Sep 16, 2009
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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 4301095466 MI Primary

Addresses

Primary practice location

2200 Green Rd Ste B
Ann Arbor, MI 48105-1569

Mailing address

2200 Green Rd Ste B
Ann Arbor, MI 48105-1569
Phone (734) 994-7446

Other practice location 1

255 N Lilley Rd
Canton, MI 48187-3907
Phone (734) 981-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120824000796 MI Practitioner - Internal Medicine 4688821739 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners in Internal Medicine PLLCGroup PAC ID 6103806245, 7 clinicians

Practice addresses (Care Compare)

2200 Green Rd
Suite B
Ann Arbor, MI 48105-1569
Phone (734) 994-7446

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Internal Medicine PLLC Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Procare Partners Health PLLC Internal Medicine CurrentSince Jun 26, 2020 Accepting new patients
Oakwood Healthcare Inc CurrentSince Apr 1, 2014 Accepting new patients
Oakwood Healthcare, Inc CurrentSince Apr 1, 2014 Accepting new patients
Oakwood Healthcare, Inc. Current Accepting new patients

Locations

2200 Green Rd
Ste B
Ann Arbor, MI 48105
Phone (734) 994-7446

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

255 N Lilley Rd
Canton, MI 48187
Phone (734) 981-3300

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

4777 E Outer Dr
Ste 1147
Detroit, MI 48234
Phone (313) 826-6100

20927 Kelly Rd
Eastpointe, MI 48021
Phone (586) 447-9729

3611 Carpenter St
Ste 5
Hamtramck, MI 48212
Phone (313) 733-8286

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

Interoperability endpoints

  • Direct secure messaging: dweidendorf258947@direct.hfhs.org

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1497088876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 GREEN RD STE B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051569",
            "telephone_number": "734-994-7446",
            "fax_number": "734-623-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GREEN RD STE B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051569",
            "telephone_number": "734-994-7446",
            "fax_number": "734-623-8595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 N Lilley Rd",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481873907",
            "country_code": "US",
            "telephone_number": "734-981-3300",
            "fax_number": "734-981-0653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIDENDORF",
        "first_name": "DAVID",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-16",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301095466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.