Individual provider Active NPI

David Solomon Weingarden, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Clinton Township, MI
National Provider Identifier
1851394654
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4301049666 Issued in MI
Practice address
43555 Dalcoma Dr
Ste 4
Clinton Township, MI 48038-6310
Phone
(586) 228-2882
Fax
(586) 463-7152
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 4301049666 MI Primary

Addresses

Primary practice location

43555 Dalcoma Dr
Ste 4
Clinton Township, MI 48038-6310

Mailing address

43555 Dalcoma Dr
Ste 4
Clinton Township, MI 48038-6310
Phone (586) 228-2882

Other identifiers 7

IdentifierTypeStateIssuer
103824OtherMICARE CHOICES-PREFERRED
1792650MedicaidMI
DW049666OtherMIBCBSM
143014049666OtherMISTATE LICENSE NUMBER
C6827OtherMIM-CARE
2505001891OtherMIBCN
0E0611402OtherRAILROAD MEDICARE

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
I20080808000693 MI Practitioner - Physical Medicine and Rehabilitation 1658350582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Wayne State University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David S. Weingarden, M.D. and Associates, P.C.Group PAC ID 8426037342, 7 clinicians

Practice addresses (Care Compare)

43555 Dalcoma Dr
Suite 4
Clinton Township, MI 48038-6310
Phone (586) 228-2882

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301049666MIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David S. Weingarden, M.D. & Associates, P.C. Physical Medicine & Rehabilitation CurrentSince Jan 1, 1987 Accepting new patients
Henry Ford Macomb Hospital Corporation Past Accepting new patients

Locations

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

43555 Dalcoma Dr
Ste 4
Clinton Twp, MI 48038
Phone (586) 228-2882

Interoperability endpoints

  • Direct secure messaging: dweingarden58087@direct.hfhs.org

Organizations & group practices 2

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 2

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1851394654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43555 DALCOMA DR",
            "address_2": "STE 4",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386310",
            "telephone_number": "586-228-2882",
            "fax_number": "586-463-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43555 DALCOMA DR",
            "address_2": "STE 4",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386310",
            "telephone_number": "586-228-2882",
            "fax_number": "586-463-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINGARDEN",
        "first_name": "DAVID",
        "middle_name": "SOLOMON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301049666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES-PREFERRED",
            "identifier": "103824",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1792650",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "DW049666",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "143014049666",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE",
            "identifier": "C6827",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "2505001891",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "0E0611402",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.