Individual provider Active NPI

Charles Maxwell Weddington, M.D.

  • Dermatology Physician
  • San Francisco, CA
National Provider Identifier
1003347519
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A203497 Issued in CA
Practice address
2299 Post St Ste 312
San Francisco, CA 94115-3475
Phone
(415) 292-6350
NPI assigned
Mar 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D0095080 MD
Internal Medicine Physician 207R00000X 125071373 IL
Internal Medicine Physician 207R00000X 125.071373 IL
Dermatology Physician 207N00000X A203497 CA Primary

Addresses

Primary practice location

2299 Post St Ste 312
San Francisco, CA 94115-3475

Mailing address

2299 Post St Ste 312
San Francisco, CA 94115-3475
Phone (415) 292-6350

Other practice location 1

419 W Redwood St Ste 235
Baltimore, MD 21201-1734
Phone (667) 214-1171

Other practice location 2

2160 S 1st Ave
Loyola University Medical Center
Maywood, IL 60153-3328
Phone (708) 216-4943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230208002654 MD Practitioner - Dermatology 4486926284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A203497CAMDDermatology Physician
D0095080MDMDDermatology Physician
125071373ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen M Welsh MD PC PastSince Aug 17, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1003347519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 POST ST STE 312",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153475",
            "telephone_number": "415-292-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 POST ST STE 312",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153475",
            "telephone_number": "415-292-6350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 W Redwood St Ste 235",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011734",
            "country_code": "US",
            "telephone_number": "667-214-1171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2160 S 1st Ave",
            "address_2": "Loyola University Medical Center",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "IL",
            "postal_code": "601533328",
            "country_code": "US",
            "telephone_number": "708-216-4943",
            "fax_number": "708-216-4943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEDDINGTON",
        "first_name": "CHARLES",
        "middle_name": "MAXWELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-26",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0095080",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125071373",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.071373",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A203497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.