DOUGLAS KEITH WEITZMAN (M.D.) – Family Medicine Physician, NPI 1174507164

DOUGLAS KEITH WEITZMAN (M.D.) is a healthcare provider. based in Smithfield, Virginia. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 0101040484 (VA). The NPI Number for DOUGLAS KEITH WEITZMAN (M.D.) is 1174507164

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS KEITH WEITZMAN (M.D.)
NPI
1174507164
Phone
(757) 365-8031
Address
919 S Church St
Enumeration Date
2 December 2005
Last Update Date
7 November 2024

Doctor Profile

Medical School Name
HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7575422000
Graduation Year
1984 (42 years ago)
PAC ID
8527069368
Group Practice PAC ID
8921903923
Professional Enrollment ID
I20070123000177
Address ID
VA233143573CA20209WAYX319
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,174 FAMILY PRACTICE in VA

Provider Addresses for DOUGLAS KEITH WEITZMAN (M.D.)

  • 919 S Church St

    Smithfield, VA 234301715

    Phone: (757) 365-8031

    Fax: (757) 356-9451

    Type: Location

  • 20209 SENTARA WAY STE 200

    CARROLLTON, VA 233143574

    Phone: (757) 542-2000

    Fax: (757) 542-2001

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-05-03 • Largest payer in this snapshot: Abbott Laboratories ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$17
View all Open Payments →|Open Payments Risk Radar →

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: 2007-01-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20070123000177IFamily PracticeVATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes978498$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit382382$0
93793Anticoagulant management of patient taking warfarin15012$0
99213Established patient office or other outpatient visit, 20-29 minutes9866$0
G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment1919$0
View full utilization report →

Insurance plans in this area (ZIP 23430)

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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: 8921903923View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineVA
Nurse PractitionerVA
-MI
-VA
-VA
Pulmonary Disease, Internal MedicineGA
N E U R O L O G YVA
Physician AssistantVA
-VA
Family PracticeVA

Reviews

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Frequently asked questions

What is the registry number for DOUGLAS KEITH WEITZMAN (M.D.)?
The registry entry for DOUGLAS KEITH WEITZMAN (M.D.) shows NPI 1174507164.
Is DOUGLAS KEITH WEITZMAN (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DOUGLAS KEITH WEITZMAN (M.D.) as active.
What type of care does DOUGLAS KEITH WEITZMAN (M.D.) provide?
DOUGLAS KEITH WEITZMAN (M.D.)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DOUGLAS KEITH WEITZMAN (M.D.) in Smithfield, Virginia?
For routing, start with Smithfield, Virginia for DOUGLAS KEITH WEITZMAN (M.D.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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