Individual provider Active NPI

Michael Rivera-Weiss, M.D.

  • Pain Medicine Physician
  • Canton, OH
National Provider Identifier
1871516013
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
35.061258 Issued in OH
Practice address
4665 Douglas Cir NW Ste 103
Canton, OH 44718-3673
Phone
(330) 492-2232
Fax
(330) 492-2233
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 35.061258 OH Primary

Addresses

Primary practice location

4665 Douglas Cir NW Ste 103
Canton, OH 44718-3673

Mailing address

4665 Douglas Cir NW Ste 103
Canton, OH 44718-3673
Phone (330) 354-3885

Other identifiers 1

IdentifierTypeStateIssuer
0822051MedicaidOH

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
I20040603000647 OH Practitioner - Pain ManagementPractitioner - Other (Physician) 4981686987 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Ponce School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Lima Specialty Care LLCGroup PAC ID 7012332364, 254 clinicians

Practice addresses (Care Compare)

770 W High St
Suite 160
Lima, OH 45801-5900
Phone (419) 996-5224

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.061258OHMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians-North LLC Pain Medicine CurrentSince Nov 29, 2018 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince Sep 1, 2020 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Nov 29, 2018 Accepting new patients
Serenity Medical Aesthetics LLC Pain Medicine CurrentSince Oct 1, 2024 Accepting new patients
Aultman North Canton Medical Group Past Accepting new patients
Children's Hospital Medical Center of Akron Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Tanner Medical Center, Inc. Past Accepting new patients
Beacon Medical, LLC Past Accepting new patients
Anesthesia Associates of Alliance LLC Past Accepting new patients

Locations

442 W High St
Bryan, OH 43506
Phone (260) 266-8210

4665 Douglas Cir NW
Ste 103
Canton, OH 44718
Phone (330) 354-3948

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069

770 W High St
Ste 160
Lima, OH 45801
Phone (419) 996-5224

770 W High St
Lima, OH 45801
Phone (419) 996-5240

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

218 S Myrtle Ave
Willard, OH 44890
Phone (419) 933-2811

Interoperability endpoints

  • Direct secure messaging: mriveraweiss195530@direct.bsmhealth.org

Organizations & group practices 12

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1871516013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 DOUGLAS CIR NW STE 103",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183673",
            "telephone_number": "330-354-3885",
            "fax_number": "330-492-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 DOUGLAS CIR NW STE 103",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183673",
            "telephone_number": "330-492-2232",
            "fax_number": "330-492-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-WEISS",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OH",
            "license": "35.061258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0822051",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.