Active NPI
Jeffrey Scott Deweerd, DO
- Family Medicine Physician
- Mason, MI
National Provider Identifier
1669428827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101013371
- Practice address
- 710 Temple St
Mason, MI 48854 - Phone
- (517) 244-1000
- Fax
- (517) 604-6154
- NPI assigned
- May 26, 2006
- Last updated
- Oct 2, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101013371 | MI | Primary |
Addresses
Primary practice location
710 Temple St
Mason, MI 48854
Mailing address
710 Temple St
Mason, MI 48854-8624
Phone (517) 244-1000
Other practice location 1
710 Temple St
Mason, MI 48854
Phone (517) 244-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P0027587 | Other | MI | RR MEDICARE |
| 4510844 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
710 Temple St
Mason, MI 48854-8624
Phone (517) 244-1000
Hospital & facility affiliations
- Edward W Sparrow Hospital
- Henry Ford Allegiance Health
- McLaren Greater Lansing
- Eaton Rapids Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 13 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mason Medical Group PC | Family Medicine | Current | Accepting new patients |
Locations
710 Temple St
Mason, MI 48854
Phone (517) 244-1000
Interoperability endpoints
- jdeweerd467236@direct.hfhs.org
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Mason, MI
- NPI 1457701799
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Eaton Rapids, MI
- NPI 1417044660
-
dba University of Michigan Health-Sparrow Lansing
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
dba Thoracic Cardiovascular Institute
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1134104672
-
dba Henry Ford Allegiance Health
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1669428827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 TEMPLE ST",
"city": "MASON",
"state": "MI",
"postal_code": "488548624",
"telephone_number": "517-244-1000",
"fax_number": "517-604-6154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 TEMPLE ST",
"city": "MASON",
"state": "MI",
"postal_code": "48854",
"telephone_number": "517-244-1000",
"fax_number": "517-604-6154"
}
],
"practiceLocations": [
{
"address_1": "710 Temple St",
"address_purpose": "LOCATION",
"city": "Mason",
"state": "MI",
"postal_code": "48854",
"country_code": "US",
"telephone_number": "517-244-1000",
"fax_number": "517-604-6154",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEWEERD",
"first_name": "JEFFREY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101013371",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P0027587",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4510844",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mason, MI
- DBT Institute of Mi (DBT Institute of Michigan)
- Jasmine Dean, BA, QIDP, QMHP
- Matthew Delong
- Robert E Dempsey, D.O.
- Cathy Devine
- Kimberly Dickinson, MSW CLINICAL/MACRO
- Brooke Dippel
- Divine Care Health Group, Inc. (Divine Care Home Health & Hospice)
- Divine Care Health Group, Inc. (Divine Care Home Health & Hospice)
- Kimberly Sue Docter
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.