Individual provider Active NPI

Thomas Gerald Weiss, MD

  • Emergency Medicine Physician
  • Yonkers, NY
National Provider Identifier
1528678877
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301511213 Issued in MI
Practice address
967 North Broadway
Medical Education Dept.
Yonkers, NY 10701-1301
Phone
(914) 798-8971
NPI assigned
Aug 2, 2020
Last updated
May 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301511213 MI Primary

Addresses

Primary practice location

967 North Broadway
Medical Education Dept.
Yonkers, NY 10701-1301

Mailing address

4894 Apple CT
Freeland, MI 48623-8800
Phone (989) 737-8153

Other practice location 1

1632 Stone St
Saginaw, MI 48602
Phone (989) 583-0000

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
I20240719000151 MI Practitioner - Emergency Medicine 2668918285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Central Michigan College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

420 W High St
Dowagiac, MI 49047-1943
Phone (269) 782-8681

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301511213MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Vituity-Michigan Health Services PC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Vituity-Michigan Health Services PC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

411 Naomi St
Plainwell, MI 49080
Phone (269) 685-0700

4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000

Organizations & group practices 4

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 3

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": "1596326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1528678877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4894 APPLE CT",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486238800",
            "telephone_number": "989-737-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 NORTH BROADWAY",
            "address_2": "MEDICAL EDUCATION DEPT.",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011301",
            "telephone_number": "914-798-8971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1632 Stone St",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "48602",
            "country_code": "US",
            "telephone_number": "989-583-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISS",
        "first_name": "THOMAS",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-02",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301511213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.