Individual provider Active NPI

Jason Meade Weber, DPM

  • Foot & Ankle Surgery Podiatrist
  • Gaithersburg, MD
National Provider Identifier
1063574515
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01365 Issued in MD
Practice address
702 Russell Avenue
Suite 103
Gaithersburg, MD 20877-2606
Phone
(301) 948-3668
Fax
(301) 926-7787
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 01365 MD
Foot & Ankle Surgery Podiatrist 213ES0103X 01365 MD Primary

Addresses

Primary practice location

702 Russell Avenue
Suite 103
Gaithersburg, MD 20877-2606

Mailing address

702 Russell Avenue
Suite 103
Gaithersburg, MD 20877-2606
Phone (301) 948-3668

Other identifiers 1

IdentifierTypeStateIssuer
409152300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031124000629 DC Practitioner - Podiatry 5395649081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10901 Conn Ave
Suite 200
Kensington, MD 20895-1645
Phone (301) 949-2000

11801 Rockville Pike
Suite 105
Rockville, MD 20852-2714
Phone (301) 881-6222

5001 Silver Hill Rd
Suite a
Suitland, MD 20746-5215
Phone (301) 736-6900

6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844

702 Russell Ave
Suite 103
Gaithersburg, MD 20877-2606
Phone (301) 948-3668

Merit-based Incentive Payment System (MIPS)

Final score
88.95 of 100Reported as group
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue27
Removal of skin lesions17
Removal of nail tissue1086
Removal or shaving of skin growth354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01365MDMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Apr 1, 2022 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Apr 1, 2022 Accepting new patients
Medical Faculty Associates, Inc PastSince Sep 2, 2003 Accepting new patients

Locations

702 Russell Ave
Ste 103
Gaithersburg, MD 20877
Phone (301) 736-6900

10901 Connecticut Ave
Ste 200
Kensington, MD 20895
Phone (301) 949-2000

11801 Rockville Pike
Ste 105
Rockville, MD 20852
Phone (301) 770-5741

8630 Fenton St
Ste 324
Silver Spring, MD 20910
Phone (301) 587-5666

5001 Silver Hill Rd
Ste A
Suitland, MD 20746
Phone (301) 736-6900

Interoperability endpoints

  • Direct secure messaging: jweber@usfas.emadirect.md

Organizations & group practices 4

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1063574515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 RUSSELL AVENUE",
            "address_2": "SUITE 103",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772606",
            "telephone_number": "301-948-3668",
            "fax_number": "301-926-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 RUSSELL AVENUE",
            "address_2": "SUITE 103",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772606",
            "telephone_number": "301-948-3668",
            "fax_number": "301-926-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "JASON",
        "middle_name": "MEADE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01365",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409152300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.