NPIMap

Individual provider Active NPI

Autumn Desiree Weir, MD

  • Family Medicine Physician
  • Salina, KS
National Provider Identifier
1053804468
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-42883 Issued in KS
Practice address
651 E Prescott Rd
Salina, KS 67401
Phone
(785) 825-7251
NPI assigned
Jun 11, 2018
Last updated
Jan 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 94-09488 KS
Family Medicine Physician 207Q00000X 04-42883 KS Primary

Addresses

Primary practice location

651 E Prescott Rd
Salina, KS 67401

Mailing address

651 E Prescott Rd
Salina, KS 67401-7408
Phone (785) 825-7251

Other names 1

  • Autumn D Smith Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210823001748 KS Practitioner - Family Practice 0941556567 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillsboro Hospital LLCGroup PAC ID 4587090121, shared by 4 NPIs, 14 clinicians

Practice addresses (Care Compare)

101 Industrial Rd
Hillsboro, KS 67063-9602
Phone (620) 877-4165

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-42883KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hillsboro Hospital LLC Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Hillsboro Hospital LLC Current Accepting new patients
Cah Acquisition Company 5 LLC Past Accepting new patients
Salem Hospital, Inc. Past Accepting new patients
Hillsboro Hospital LLC Past Accepting new patients

Locations

101 Industrial Rd
Hillsboro, KS 67063
Phone (620) 877-4165

Organizations & group practices 5

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

Hospital & facility affiliations 9

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": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1053804468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 E PRESCOTT RD",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674017408",
            "telephone_number": "785-825-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 E PRESCOTT RD",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "67401",
            "telephone_number": "785-825-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIR",
        "first_name": "AUTUMN",
        "middle_name": "DESIREE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "94-09488",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-42883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUTUMN",
            "last_name": "SMITH",
            "middle_name": "D",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.