Individual provider Active NPI

Clifford Weldon, MD

  • Cardiovascular Disease Physician
  • Clinton Township, MI
National Provider Identifier
1528194545
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301054557 Issued in MI
Practice address
15945 19 Mile Rd Ste 202
Clinton Township, MI 48038-1147
Phone
(586) 285-9270
NPI assigned
Feb 26, 2007
Last updated
Jul 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301054557 MI Primary

Addresses

Primary practice location

15945 19 Mile Rd Ste 202
Clinton Township, MI 48038-1147

Mailing address

15945 19 Mile Rd Ste 202
Clinton Township, MI 48038-1147
Phone (313) 608-0254

Other identifiers 9

IdentifierTypeStateIssuer
0166726OtherMITOTAL HEALTHCARE
1528194545MedicaidMI
21606OtherMIOMNICARE
QMXPR0020661OtherMIMOLINA
7001298OtherMICHAMPS
CW054557OtherMILICENSE
M-006492OtherMITRICARE
P87524OtherBCN
0500966OtherMIBCBSM

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
I20031210000146 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 8729984836 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

27550 Schoenherr Rd
Suite 200
Warren, MI 48088-4799
Phone (586) 776-4200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
53.17 of 100Reported as group
Quality
68.72
Improvement activities
0
Cost
78.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
K Heart & Vascular Institute, PLLC Cardiovascular Disease CurrentSince Mar 1, 2021 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jul 1, 1997 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Cardiovascular Institute of Michigan, P.C. Cardiovascular Disease CurrentSince Feb 1, 2021 Accepting new patients
Woods Cardiovascular Interna Medicine Associastes, P.C. CurrentSince Jun 29, 2023 Accepting new patients
Physician Care Solutions P.C. CurrentSince May 1, 2025 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital Cardiovascular Disease CurrentSince Jan 1, 2001 Accepting new patients
Henry Ford Health St. John Hospital Cardiovascular Disease CurrentSince Jul 1, 1997 Accepting new patients
Henry Ford Health Macomb Oakland Hospital Cardiovascular Disease Current Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Jan 1, 2001 Accepting new patients
Woods Cardiovascular Internal Medicine Associates, P.C. Cardiovascular Disease CurrentSince Jun 29, 2023 Accepting new patients
Preventive Cardiovascular Institute PLLC Cardiovascular Disease PastSince Feb 1, 2021 Accepting new patients

Locations

15945 19 Mile Rd
Ste 202
Clinton Twp, MI 48038
Phone (586) 285-9270

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

15959 Hall Rd
Ste 204
Macomb, MI 48044
Phone (586) 566-3717

15959 Hall Rd
Ste 210
Macomb, MI 48044
Phone (586) 566-0620

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

18303 E 10 Mile Rd
Ste 100
Roseville, MI 48066
Phone (586) 776-8877

33376 Dequindre Rd
Sterling Hts, MI 48310
Phone (248) 986-3252

101 W Big Beaver Rd
Ste 1400
Troy, MI 48084
Phone (248) 687-1829

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

27550 Schoenherr Rd
Ste 200
Warren, MI 48088
Phone (586) 776-4200

27560 Hoover Rd
Warren, MI 48093
Phone (586) 573-5890

28000 Dequindre Rd
Warren, MI 48092
Phone (586) 743-0944

Interoperability endpoints

  • Direct secure messaging: cweldon1157270@direct.hfhs.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 13

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.

View all 13

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1528194545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15945 19 MILE RD STE 202",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381147",
            "telephone_number": "313-608-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15945 19 MILE RD STE 202",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381147",
            "telephone_number": "586-285-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELDON",
        "first_name": "CLIFFORD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301054557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TOTAL HEALTHCARE",
            "identifier": "0166726",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528194545",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMNICARE",
            "identifier": "21606",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "QMXPR0020661",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPS",
            "identifier": "7001298",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "CW054557",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "M-006492",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "P87524",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0500966",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.