Individual provider Active NPI

Richard C Weiermiller Jr., MD

  • Internal Medicine Physician
  • Rochester Hills, MI
National Provider Identifier
1689665739
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301071822 Issued in MI
Practice address
1055 South Blvd E
Ste 220
Rochester Hills, MI 48307-5465
Phone
(248) 817-2230
Fax
(248) 817-2891
NPI assigned
Oct 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301071822 MI Primary

Addresses

Primary practice location

1055 South Blvd E
Ste 220
Rochester Hills, MI 48307-5465

Mailing address

1055 South Blvd E
Ste 220
Rochester Hills, MI 48307-5465
Phone (248) 817-2230

Other identifiers 1

IdentifierTypeStateIssuer
348226MedicaidMI

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
I20080122000626 MI Practitioner - Internal MedicinePractitioner - Pediatric Medicine 1658452180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Michigan State University College of Human Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arcturus Healthcare PLCGroup PAC ID 7012143118, 63 clinicians

Practice addresses (Care Compare)

1055 S Blvd E
Suite 220
Rochester Hills, MI 48307-5466
Phone (248) 817-2230

1701 S Blvd E
Rochester Hills, MI 48307-6116

4600 Investment Dr
Troy, MI 48098-6368
Phone 24826750003025

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arcturus Healthcare PLC Internal Medicine CurrentSince Apr 1, 2019 Accepting new patients
Arcturus Healthcare PLC Internal Medicine CurrentSince Apr 1, 2019 Accepting new patients
Macomb Oakland Adult Medicine PC Internal Medicine Current Accepting new patients

Locations

1055 South Blvd E
Ste 220
Rochester Hills, MI 48307
Phone (248) 817-2230

1701 South Blvd E
Ste 290
Rochester Hills, MI 48307
Phone (248) 997-7000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1689665739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 SOUTH BLVD E",
            "address_2": "STE 220",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075465",
            "telephone_number": "248-817-2230",
            "fax_number": "248-817-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 SOUTH BLVD E",
            "address_2": "STE 220",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075465",
            "telephone_number": "248-817-2230",
            "fax_number": "248-817-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIERMILLER",
        "first_name": "RICHARD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301071822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "348226",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.