JOHANNA JACOBA VERWILGHEN MD
NPI 1316987142
Internal Medicine - Rheumatology in Grosse Pointe, MI

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
16815 E JEFFERSON AVE, SUITE 220, GROSSE POINTE, MI 48230(313) 831-1100(313) 831-1177 Get Directions Write a Review

NPPES record last updated: February 22, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Johanna Jacoba Verwilghen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHANNA JACOBA VERWILGHEN MD (NPI 1316987142) is an individual rheumatology provider in Grosse Pointe, Michigan, licensed in Michigan (4301077528) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Harper University Hospital, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1316987142
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameJOHANNA JACOBA VERWILGHENCredential: MD
Location Address16815 E JEFFERSON AVE, SUITE 220Grosse Pointe, MI 48230-1923
Mailing Address16815 E Jefferson Ave, Suite 220Grosse Pointe, MI 48230-1923 · (313) 831-1100 · Fax (313) 831-1177
Fax(313) 831-1177
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateJune 8, 2006
Last NPPES UpdateFebruary 22, 2017
NPI 1316987142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in MI · 4301077528
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301077528 (MI)
16815 E JEFFERSON AVE, Grosse Pointe, MI 48230

Other Identifiers 4

Other026068MI · Dmc
Medicare UPINH59137
Other1108235412MI · Bcbs
Medicare PIN0P04790MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Johanna Jacoba Verwilghen Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880651728
PECOS Enrollment IDI20041214000090
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48230 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
16815 E JEFFERSON AVE
GROSSE POINTE, MI 48230
Orthopaedic Surgery
16815 E JEFFERSON AVE, SUITE #150
GROSSE POINTE, MI 48230
Obstetrics & Gynecology (Obstetrics)
16815 E JEFFERSON AVE, SUITE 250
GROSSE POINTE, MI 48230
Family Medicine
16815 E JEFFERSON AVE
GROSSE POINTE, MI 48230
Family Medicine
16815 E JEFFERSON AVE
GROSSE POINTE, MI 48230
Internal Medicine
16815 E JEFFERSON AVE
GROSSE POINTE, MI 48230

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johanna Verwilghen's NPI number?

The NPI number for Johanna Verwilghen is 1316987142. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Johanna Verwilghen located?

Johanna Verwilghen practices at 16815 E Jefferson Ave Suite 220, Grosse Pointe, MI 48230. The listed phone number is (313) 831-1100.

What is Johanna Verwilghen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Johanna Verwilghen enrolled in Medicare?

Yes. Johanna Verwilghen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Johanna Verwilghen accept?

Health plans from McLaren Health Plan Community list Johanna Verwilghen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Johanna Verwilghen affiliated with any hospitals?

According to CMS data, Johanna Verwilghen is affiliated with Harper University Hospital.

When was this NPI record last updated?

The NPPES record for Johanna Verwilghen was last updated on February 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.