Individual provider Active NPI

Michael K Weil, M.D.

  • Dermatology Physician
  • Slidell, LA
National Provider Identifier
1780750802
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
12595R Issued in LA
Practice address
380 Gateway Dr
Slidell, LA 70461-5540
Phone
(985) 690-6600
Fax
(985) 690-9860
NPI assigned
Nov 28, 2006
Last updated
Jun 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 12595R LA Primary

Addresses

Primary practice location

380 Gateway Dr
Slidell, LA 70461-5540

Mailing address

PO Box 1125
Slidell, LA 70459-1125
Phone (985) 690-6600

Other identifiers 3

IdentifierTypeStateIssuer
070016132OtherLAMEDICARE RAIL ROAD
721481637001OtherLATRICARE SOUTH
1537811MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20040205000411 LA Practitioner - Dermatology 0840183638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Oregon Health Sciences University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

380 Gateway Dr
Slidell, LA 70461-1125

380 Gateway Dr
Slidell, LA 70461-5540

380 Gateway Dr
Slidell, LA 70461-5591
Phone (985) 690-6600

Merit-based Incentive Payment System (MIPS)

Final score
99.4 of 100Reported as individual
Quality
100
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision24
Removal of tissue1-10
Removal of skin lesions871
Skin biopsy120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12595RLAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael K Weil, MD, Apmc Dermatology CurrentSince Aug 23, 2000 Accepting new patients
Gulf South Medical & Surgical Institute Dermatology Past Accepting new patients
Gulf South Medical & Surgical Institute, Inc. Past Accepting new patients

Locations

380 Gateway Dr
Slidell, LA 70461
Phone (985) 690-6600

380 Gateway Dr
Ste A
Slidell, LA 70461
Phone (985) 690-6600

380 Gateway Dr
Ste B
Slidell, LA 70461
Phone (504) 278-2028

Interoperability endpoints

  • Direct secure messaging: mkweil@direct.meditouchehr.com

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, 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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1780750802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1125",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704591125",
            "telephone_number": "985-690-6600",
            "fax_number": "985-690-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 GATEWAY DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615540",
            "telephone_number": "985-690-6600",
            "fax_number": "985-690-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIL",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "12595R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "070016132",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "721481637001",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1537811",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.