Individual provider Active NPI

Matthew Jeremy Weiner, MD

  • Surgery Physician
  • Tucson, AZ
National Provider Identifier
1053383463
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
57146 Issued in AZ
Practice address
5155 E Farness Dr Ste 111a
Tucson, AZ 85712-2158
Phone
(520) 298-3300
Fax
(520) 800-1055
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 57146 AZ Primary

Addresses

Primary practice location

5155 E Farness Dr Ste 111a
Tucson, AZ 85712-2158

Mailing address

5155 E Farness Dr Ste 111a
Tucson, AZ 85712-2158
Phone (520) 298-3300

Other identifiers 1

IdentifierTypeStateIssuer
020F392060OtherMIBCBSM/BCN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20190326001664 AZ Practitioner - General Surgery 7618994898 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Michigan Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pound of Cure LLCGroup PAC ID 0840739041, 3 clinicians

Practice addresses (Care Compare)

5155 E Farness Dr
Suite 111a
Tucson, AZ 85712-2158
Phone (520) 298-3300

Hospital & facility affiliations

  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Weiner, MD, PLLC Surgery Current Accepting new patients
TMC Medical Network CurrentSince Aug 1, 2023 Accepting new patients
Tucson Weight Loss Surgery Surgery CurrentSince Dec 23, 2022 Accepting new patients
Pound of Cure LLC Surgery CurrentSince Nov 19, 2021 Accepting new patients
CH Specialty Services Az LLC Past Accepting new patients
Tucson Medical Center Past Accepting new patients
Arizona Community Surgeons PC Surgery Past Accepting new patients
University Physician Group Past Accepting new patients

Locations

1712 W Anklam Rd
Ste 101
Tucson, AZ 85745
Phone (520) 207-2384

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

1712 W Anklam Rd
Tucson, AZ 85745

5155 E Farness Dr
Ste 111A
Tucson, AZ 85712
Phone (520) 298-3300

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1053383463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 E FARNESS DR STE 111A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122158",
            "telephone_number": "520-298-3300",
            "fax_number": "520-800-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 E FARNESS DR STE 111A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122158",
            "telephone_number": "520-298-3300",
            "fax_number": "520-800-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "MATTHEW",
        "middle_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "57146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM/BCN",
            "identifier": "020F392060",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.