Individual provider Active NPI

Saul Israel Weingarden, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Southfield, MI
National Provider Identifier
1760459994
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
4301037116 Issued in MI
Practice address
20307 W 12 Mile Rd
Ste. 104
Southfield, MI 48076-5407
Phone
(248) 353-3388
Fax
(248) 353-0492
NPI assigned
Mar 7, 2006
Last updated
Jan 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 4301037116 MI Primary

Addresses

Primary practice location

20307 W 12 Mile Rd
Ste. 104
Southfield, MI 48076-5407

Mailing address

20307 W. Twelve Mile Rd.
Ste. 104
Southfield, MI 48076-5407
Phone (248) 353-3388

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
I20040119000696 MI Practitioner - Physical Medicine and Rehabilitation 9638070907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Wayne State University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Therapy Centers, IncGroup PAC ID 5092605717, 140 clinicians

Practice addresses (Care Compare)

20307 W 12 Mile Rd
Suite 104
Southfield, MI 48076-5407
Phone (248) 353-3388

33010 Northwestern Hwy
West Bloomfield, MI 48322-3634

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saul Weingarden MD PLLC CurrentSince Jul 22, 2019 Accepting new patients
Polyclinic Associates PC Past Accepting new patients
John Balko and Associates Inc Past Accepting new patients

Locations

20307 W 12 Mile Rd
Ste 104
Southfield, MI 48076
Phone (248) 353-3388

Interoperability endpoints

  • Direct secure messaging: sweingarden1157246@direct.hfhs.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1760459994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20307 W. TWELVE MILE RD.",
            "address_2": "STE. 104",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765407",
            "telephone_number": "248-353-3388",
            "fax_number": "248-353-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20307 W 12 MILE RD",
            "address_2": "STE. 104",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765407",
            "telephone_number": "248-353-3388",
            "fax_number": "248-353-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINGARDEN",
        "first_name": "SAUL",
        "middle_name": "ISRAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MI",
            "license": "4301037116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.