Individual provider Active NPI

Richard Leonard Weitzel Jr., M.D.

  • Cardiovascular Disease Physician
  • Warren, OH
National Provider Identifier
1801822648
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35053990W Issued in OH
Practice address
405 Niles Cortland Rd SE
Warren, OH 44484-2460
Phone
(330) 372-2121
Fax
(330) 372-2120
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35053990W OH Primary

Addresses

Primary practice location

405 Niles Cortland Rd SE
Warren, OH 44484-2460

Mailing address

405 Niles Cortland Rd SE
Warren, OH 44484-2460
Phone (330) 372-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040116000692 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2668373200 Reassigns benefits to 1 organization
Practice locations: Warren, OH

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Pennsylvania State University College of Medicine, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

405 Niles Cortland Rd SE
Suite 201
Warren, OH 44484-2460
Phone (330) 372-2121

Hospital & facility affiliations

  • MH St Joseph Warren Hospital Hospital, Warren, OH, CCN 360161
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064

Merit-based Incentive Payment System (MIPS)

Final score
23.46 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35053990WOHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard L Weitzel Jr MD LLC CurrentSince May 17, 2023 Accepting new patients
RPJ Liberty Enterprises LLC CurrentSince Sep 1, 2024 Accepting new patients
St. Elizabeth Cardiac Cath Lab, LLC Past Accepting new patients

Locations

405 Niles Cortland Rd SE
Ste 201
Warren, OH 44484
Phone (330) 372-2121

Interoperability endpoints

  • Direct secure messaging: rweitzel34819@direct.bsmhealth.org

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 4

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801822648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 NILES CORTLAND RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842460",
            "telephone_number": "330-372-2121",
            "fax_number": "330-372-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 NILES CORTLAND RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842460",
            "telephone_number": "330-372-2121",
            "fax_number": "330-372-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITZEL",
        "first_name": "RICHARD",
        "middle_name": "LEONARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35053990W",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.