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Deactivated NPI 1215935697 Deactivated / Inactive NPI Male Practitioner

Dr. Daniel Tilles Weidenthal , MD

Surgery • Beachwood, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Daniel Weidenthal has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 11, 2005
NPI Deactivation Date July 30, 2026
Total Practice Duration ~21 Years of Practice (2005 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Weidenthal, MD was a registered Surgery practicing in Beachwood, OH. Throughout an active medical career spanning 21 years, Dr. Weidenthal provided care at the practice location at 25700 SCIENCE PARK DR until profile deactivation on 2026-07-30.

Historical Medicare Part B clinical services included imaging of retina, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

25700 Science Park Dr
Suite 190

Beachwood, OH 441227319

Telephone 2164645266
Fax 2164645290
Associated Practice Facility / Clinic
🏢 Daniel T. Weidenthal Md Inc Facility NPI 1649520263

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Beachwood, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.0 Yrs
State Avg: 24.9 Yrs
Regional Practice Density
7 Specialists

Practicing in Beachwood, OH (1313 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
24.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92134 Imaging of retina
62 16 $80.00 $37.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
17 14 $100.00 $98.54

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35023014W

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Brian Mausser , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1396518429

Advanced Practice Registered Nurse

Charles Andrzejewski

Social Worker - Clinical

NPI 1568084077
Anna Grzebieniak

Nurse Practitioner - Psychiatric/Mental Health

NPI 1588085997

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 30, 2026

Record deactivated on July 30, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 25700 SCIENCE PARK DR, SUITE 190, BEACHWOOD, OH 441227319 (Tel: 2164645266)

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Updated Business Mailing Address July 08, 2007

Registered at 25700 SCIENCE PARK DR, SUITE 400, BEACHWOOD, OH 441227319 (Tel: 2164645266)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DANIEL WEIDENTHAL, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #35023014W in OH)

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Initial NPI Registration & Enumeration July 11, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215935697
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2005
Last Update: July 08, 2007
Deactivation Date: July 30, 2026

Mailing Address

25700 Science Park Dr, Suite 400

Beachwood, OH 441227319

Phone: 2164645266

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.