Active NPI
Charles Maxwell Weddington, M.D.
- Dermatology Physician
- San Francisco, CA
National Provider Identifier
1003347519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A203497
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A203497 | CA | MD | Dermatology Physician |
| D0095080 | MD | MD | Dermatology Physician |
| 125071373 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathleen M Welsh MD PC | Past | 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.
-
- Dermatology Physician
- Columbia, MD
- NPI 1659304152
-
- Medical Specialty Clinic/Center
- San Francisco, CA
- NPI 1497059158
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.