Individual provider Active NPI

Michael Armand Weiss, MD

  • Anesthesiology Physician
  • Glenville, PA
National Provider Identifier
1528008497
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD055277L Issued in PA
Practice address
4676 Skyview Dr
Glenville, PA 17329-9275
Phone
(717) 744-5091
Fax
(717) 744-5091
NPI assigned
Jun 7, 2006
Last updated
Jul 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD055277L PA Primary

Addresses

Primary practice location

4676 Skyview Dr
Glenville, PA 17329-9275

Mailing address

4676 Skyview Dr
Glenville, PA 17329-9275
Phone (717) 744-5091

Other identifiers 1

IdentifierTypeStateIssuer
379174MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 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
I20080611000487 PA Practitioner - Anesthesiology 9537073861 Reassigns benefits to 1 organization
I20190925000831 MD Practitioner - Anesthesiology 9537073861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Albert Einstein College of Medicine of Yeshiva University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone (443) 777-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD055277LPAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2024 Accepting new patients
Medstar Medical Group Anesthesiology LLC Anesthesiology CurrentSince Aug 6, 2019 Accepting new patients
Medstar Medical Group Anesthesiology LLC Anesthesiology CurrentSince Aug 6, 2019 Accepting new patients
Northstar Anesthesia of Pennsylvania, LLC Anesthesiology CurrentSince Jul 1, 2017 Accepting new patients
Casa Grande Community Hospital Anesthesiology Past Accepting new patients
Elmwood Eye, P.C. Past Accepting new patients
Sun Health MRI Center Past Accepting new patients
Regional Care Physicians Grooup Anesthesiology Past Accepting new patients

Locations

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600

Organizations & group practices 8

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 1

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1528008497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4676 SKYVIEW DR",
            "city": "GLENVILLE",
            "state": "PA",
            "postal_code": "173299275",
            "telephone_number": "717-744-5091",
            "fax_number": "717-744-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4676 SKYVIEW DR",
            "city": "GLENVILLE",
            "state": "PA",
            "postal_code": "173299275",
            "telephone_number": "717-744-5091",
            "fax_number": "717-744-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "MICHAEL",
        "middle_name": "ARMAND",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD055277L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379174",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenville, PA

Sources for this page

Verify at the official NPI Registry.