Active NPI
Nicholas Weiss, D.O.
- Emergency Medicine Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DO2022-0400
- Practice address
- 1100 Central Ave SE
Emergency Medicine
Albuquerque, NM 87106-4930 - Phone
- (505) 841-1125
- Fax
- (505) 841-1737
- NPI assigned
- Mar 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0102204562 | VA | |
| Emergency Medicine Physician | 207P00000X | DO2022-0040 | NM | |
| Emergency Medicine Physician | 207P00000X | DO2022-0400 | NM | Primary |
Addresses
Primary practice location
1100 Central Ave SE
Emergency Medicine
Albuquerque, NM 87106-4930
Mailing address
800 Bradbury Dr SE Ste 116
Albuquerque, NM 87106-4310
Phone (505) 272-1476
Other practice location 1
3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Phone (210) 916-5545
Other practice location 2
650 Joel Dr
Fort Campbell, KY 42223
Phone (270) 798-8727
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | UNMH@direct.health.unm.edu | ||
| Direct Messaging Address | SRMC@direct.health.unm.edu | ||
| Direct Messaging Address | UNMMG@direct.health.unm.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Nova Southeastern College of Osteo Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 Central Ave SE
Albuquerque, NM 87106-4930
Phone (505) 841-1234
2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 272-2111
Hospital & facility affiliations
- Unm Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.64 of 100
- Quality
- 75.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.92
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.68 of 100
- Quality
- 82.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3669 | TN | MD | Mental Health Counselor |
| DO2022-0040 | NM | MD | Emergency Medicine Physician |
| DO2022-0400 | NM | MD | Emergency Medicine Physician |
| 0102204562 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unm Medical Group Inc | Single Specialty | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Single Specialty | Current | Accepting new patients |
| Presbyterian Healthcare Services | Single Specialty | Current | Accepting new patients |
| Unm Medical Group, Inc. | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Single Specialty | Current | Accepting new patients |
Locations
320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100
8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200
8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000
800 Bradbury Dr SE
Ste 116
Albuquerque, NM 87106
Phone (505) 272-1476
1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
3001 Broadmoor Blvd NE
Rio Rancho, NM 87144
Phone (505) 994-7000
211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
1818 Albion St
Nashville, TN 37208
Phone (615) 341-4000
Interoperability endpoints
- nweiss250466@direct.phs.org
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
Single Specialty
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
Single Specialty, TN
-
- Critical Access Hospital
- Ruidoso, NM
- NPI 1558347708
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
Single Specialty
-
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1417330044
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1689747552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1013332881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 BRADBURY DR SE STE 116",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064310",
"telephone_number": "505-272-1476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 CENTRAL AVE SE",
"address_2": "EMERGENCY MEDICINE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064930",
"telephone_number": "505-841-1125",
"fax_number": "505-841-1737"
}
],
"practiceLocations": [
{
"address_1": "3551 Roger Brooke Dr",
"address_purpose": "LOCATION",
"city": "Jbsa Ft Sam Houston",
"state": "TX",
"postal_code": "782344504",
"country_code": "US",
"telephone_number": "210-916-5545",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "650 Joel Dr",
"address_purpose": "LOCATION",
"city": "Fort Campbell",
"state": "KY",
"postal_code": "42223",
"country_code": "US",
"telephone_number": "270-798-8727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEISS",
"first_name": "NICHOLAS",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-03",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0102204562",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "NM",
"license": "DO2022-0040",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NM",
"license": "DO2022-0400",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "UNMH@direct.health.unm.edu",
"affiliation": "N",
"address_1": "2211 Lomas Blvd NE",
"city": "Albuquerque",
"state": "NM",
"country_code": "US",
"postal_code": "871062719",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "SRMC@direct.health.unm.edu",
"affiliation": "N",
"address_1": "3001 Broadmoor Blvd NE",
"city": "Rio Rancho",
"state": "NM",
"country_code": "US",
"postal_code": "871442100",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "UNMMG@direct.health.unm.edu",
"affiliation": "N",
"address_1": "800 Bradbury Dr SE Ste 116",
"city": "Albuquerque",
"state": "NM",
"country_code": "US",
"postal_code": "871064310",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.