Individual provider Active NPI

Todd Steven Weinstein, MD

  • Surgery Physician
  • Logansport, IN
National Provider Identifier
1760454177
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01039141 Issued in IN
Practice address
1025 Michigan Ave
Ste 215
Logansport, IN 46947-1594
Phone
(574) 753-2222
Fax
(574) 753-0522
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01039141 IN Primary

Addresses

Primary practice location

1025 Michigan Ave
Ste 215
Logansport, IN 46947-1594

Mailing address

1025 Michigan Ave
Ste 215
Logansport, IN 46947-1594
Phone (574) 753-2222

Other identifiers 3

IdentifierTypeStateIssuer
100386140MedicaidIN
P01066381OtherINRAILROAD
000000775072OtherINANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100305000328 IN Practitioner - General Surgery 7416866215 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01039141INMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Logansport Hospital, Inc. CurrentSince Jul 30, 2012 Accepting new patients
Parkview Logansport Hospital, Inc. CurrentSince Jul 30, 2012 Accepting new patients
Logansport Surgical Assoc PC Surgery PastSince Jan 1, 1993 Accepting new patients

Locations

820 Fulton St
Logansport, IN 46947
Phone (219) 722-3636

1025 Michigan Ave
Ste 215
Logansport, IN 46947
Phone (574) 753-2222

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1760454177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MICHIGAN AVE",
            "address_2": "STE 215",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471594",
            "telephone_number": "574-753-2222",
            "fax_number": "574-753-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MICHIGAN AVE",
            "address_2": "STE 215",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471594",
            "telephone_number": "574-753-2222",
            "fax_number": "574-753-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTEIN",
        "first_name": "TODD",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01039141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100386140",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P01066381",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000775072",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Logansport, IN

Sources for this page

Verify at the official NPI Registry.