Individual provider Active NPI

Laurence C Weber, M.D.

  • Family Medicine Physician
  • Kalamazoo, MI
National Provider Identifier
1992766430
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301039878 Issued in MI
Practice address
6565 W Main St
Kalamazoo, MI 49009-6114
Phone
(269) 375-0400
Fax
(269) 372-8484
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301039878 MI Primary

Addresses

Primary practice location

6565 W Main St
Kalamazoo, MI 49009-6114

Mailing address

6565 W Main St
Kalamazoo, MI 49009-6114
Phone (269) 375-0400

Other identifiers 1

IdentifierTypeStateIssuer
1325815MedicaidMI

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
I20100817000544 MI Practitioner - Family Practice 1850349192 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301039878MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Promed Healthcare CurrentSince Jun 25, 2018 Accepting new patients
Ascension Medical Group Promed Family Medicine CurrentSince Jun 25, 2018 Accepting new patients

Locations

6565 W Main St
Ste 200
Kalamazoo, MI 49009
Phone (616) 372-2860

6565 W Main St
Kalamazoo, MI 49009
Phone (269) 375-0400

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992766430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 W MAIN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490096114",
            "telephone_number": "269-375-0400",
            "fax_number": "269-372-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 W MAIN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490096114",
            "telephone_number": "269-375-0400",
            "fax_number": "269-372-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "LAURENCE",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301039878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1325815",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.