Matthew Weatherhead, DO
Individual provider Active NPI Hospitalist Physician · Warren, MI
NPI 1578090940 · NPPES record last updated Jul 1, 2025
Key facts
- NPI
- 1578090940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 5101027733 (MI)
- Practice address
- 12000 E 12 Mile Rd
Warren, MI 48093-3570 - Phone
- (586) 576-4140
- NPI assigned
- May 17, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Michigan State University College of Osteopathic Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- M Medical Mi PLLC
Practice addresses (Care Compare)
34225 Grand River Ave
Farmington, MI 48335-3440
Phone (248) 477-7373
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260612001707 | MI | Practitioner - Hospitalist | 0446722276 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101027733 | MI | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Macomb-Oakland Hospital | Past | Accepting new patients |
Interoperability endpoints
- mweatherhead840703@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospitalist Physician | 208M00000X | 5101027733 | MI | Yes |
Addresses
Primary practice location
12000 E 12 Mile Rd
Warren, MI 48093-3570
Mailing address
12000 E 12 Mile Rd
Warren, MI 48093-3570
Other providers in Warren, MI
- Mary Margaret Watson
- Nicole Watson
- Kimberly Watzman
- Joseph Gerard Wauldron
- Andrei Way
- Katelyn Nicole Webb
- Rebecca Webler
- Edwin V Wehling
- Anthony Weinert
- David Casey Weisberg
All providers in Warren, MI · Hospitalist Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.