JEFFREY S WEISBERG (PA) – Physician Assistant, NPI 1669437836

JEFFREY S WEISBERG (PA) is a healthcare provider. based in Royal oak, Michigan. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. 0110008761 (VA). The NPI Number for JEFFREY S WEISBERG (PA) is 1669437836

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY S WEISBERG (PA)
NPI
1669437836
Phone
(248) 898-1994
Address
3601 W 13 MILE RD
Enumeration Date
19 April 2006
Last Update Date
6 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3036952600
Graduation Year
1997 (29 years ago)
PAC ID
8527031350
Group Practice PAC ID
0244459998
Professional Enrollment ID
I20150107000756
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Digital endpointsOther names

Provider Addresses for JEFFREY S WEISBERG (PA)

  • 3601 W 13 MILE RD

    ROYAL OAK, MI 480736712

    Phone: (248) 898-1994

    Type: Location

  • 600 Gresham Dr Ste 8600

    Norfolk, VA 235071904

    Phone: (757) 388-6005

    Fax: (757) 388-6006

    Type: Location

  • 1444 S Potomac St Ste 200

    Aurora, CO 800124509

    Phone: (303) 226-4650

    Fax: (303) 751-6069

    Type: Location

  • 3300 Gallows Rd

    Falls Church, VA 220423307

    Phone: (703) 776-4001

    Fax: (703) 776-7113

    Type: Location

  • 4900 S MONACO ST STE 210

    DENVER, CO 802373487

    Phone: (303) 226-4650

    Fax: (303) 751-6069

    Type: Mailing

  • South Monaco Street, Denver, Colorado, 80237, United States

    STE 210

    DENVER, CO 802373486

    Phone: (303) 226-4650

    Fax: (303) 751-6069

    Type: Mailing

  • 200, South Potomac Street, Aurora, Arapahoe County, Colorado, 80012, United States

    AURORA, CO 800124509

    Phone: (303) 226-4650

    Fax: (303) 751-6069

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220412001331IPhysician AssistantDETBD
I20221004002804IPhysician AssistantILTBD
I20240325000492IPhysician AssistantDCTBD
I20250318001185IPhysician AssistantVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48073)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244459998View full group profile
NameSpecialtyState
Internal Medicine, Cardiovascular Disease (Cardiology)CO
-CO
Nurse PractitionerCO
Physician AssistantCO
-CO
Physician AssistantWI
Thoracic Surgery, Cardiac Surgery, General SurgeryCO
Physician AssistantCO
Thoracic Surgery, Cardiac SurgeryCO
Thoracic Surgery, General SurgeryCO

Reviews

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Frequently asked questions

What is the standard ID for JEFFREY S WEISBERG (PA) in the U.S.?
In the U.S., JEFFREY S WEISBERG (PA) is identified by NPI 1669437836.
Is JEFFREY S WEISBERG (PA)'s NPI status active today?
Active status means JEFFREY S WEISBERG (PA)'s NPI record is not deactivated in the public file.
What does the directory say JEFFREY S WEISBERG (PA) does?
Insurance directories may phrase it differently, but here JEFFREY S WEISBERG (PA) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JEFFREY S WEISBERG (PA)?
JEFFREY S WEISBERG (PA) is associated with Royal Oak, Michigan in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.