Individual provider

Johanna Verwilghen, MD

Rheumatology Physician Internal Medicine Physician Medicare enrolled

Johanna Verwilghen, MD is a Rheumatology Physician in Grosse Pointe, MI, registered under NPI 1316987142. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 16815 E JEFFERSON AVE SUITE 220, Grosse Pointe, MI 48230. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

16815 E JEFFERSON AVE SUITE 220, Grosse Pointe, MI 48230 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
4301077528 MI Rheumatology Physician primary
4301077528 MI Internal Medicine Physician

This provider holds licence 4301077528 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Internal Medicine
PAC ID
4880651728

Medicare enrolment is recorded as approved under the provider type Practitioner - Internal Medicine. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Rheumatology covers

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. NUCC Health Care Provider Taxonomy, code 207RR0500X
Allopathic & Osteopathic Physicians Internal Medicine Rheumatology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207RR0500X Rheumatology Physician Rheumatology 4301077528 MI primary
207R00000X Internal Medicine Physician 4301077528 MI

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1316987142 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 8, 2006
Last updatedFeb 22, 2017
StatusActive
Sole proprietorYes
CredentialMD
Practice address 16815 E JEFFERSON AVE
SUITE 220
Grosse Pointe, MI 48230
(313) 831-1100
Fax (313) 831-1177
Other identifiers 1108235412 · BCBS (MI)
026068 · DMC (MI)
This record was last updated on Feb 22, 2017, roughly 9 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1316987142 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 1 6 9 8 7 1 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 2 6 9 8 5 1 8

Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1316987142?
NPI 1316987142 is the National Provider Identifier assigned to Johanna Verwilghen, MD in Grosse Pointe, MI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Rheumatology cover?
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
How do I contact Johanna Verwilghen, MD?
The phone number on file with NPPES is (313) 831-1100, last updated Feb 22, 2017. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Johanna Verwilghen, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1316987142 a valid number?
Yes. 1316987142 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.