NPIMap

Individual provider Active NPI

Stephen G Weiss II, MD

  • Urology Physician
  • Deland, FL
National Provider Identifier
1073564910
Registry record updated Sep 25, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME78669 Issued in FL
Practice address
685 Peachwood Dr
Deland, FL 32720-0804
Phone
(386) 736-3463
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 6

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

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Iowa, RJ & L Carver College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Urology Institute LLC 152 clinicians

Practice addresses (Care Compare)

2583 S Volusia Ave
Suite 300
Orange City, FL 32763-9129
Phone (386) 736-3463

506 Palmetto St
New Smyrna Beach, FL 32168-7325
Phone (386) 427-9554

545 Health Blvd
Daytona Beach, FL 32114-1493
Phone (386) 239-8500

609 W Highland Blvd
Inverness, FL 34452-4638
Phone (352) 726-9707

Hospital & facility affiliations

  • Adventhealth New Smyrna Beach Hospital, New Smyrna Beach, FL, CCN 100014
  • Adventhealth Deland Hospital, Deland, FL, CCN 100045
  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072

Merit-based Incentive Payment System (MIPS)

Final score
94.09 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
80.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100928000479 FL Practitioner - Urology 6305921594 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Advanced Urology Institute, LLC Urology CurrentSince Apr 1, 2014 Accepting new patients
Advanced Urology Institute, LLC Urology CurrentSince Apr 1, 2014 Accepting new patients
Advanced Urology Institute LLC Urology Past Accepting new patients

Locations

545 Health Blvd
Daytona Beach, FL 32114
Phone (386) 239-8500

685 Peachwood Dr
Deland, FL 32720
Phone (386) 736-3463

609 W Highland Blvd
Inverness, FL 34452
Phone (352) 726-9707

506 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 427-9554

1061 Medical Center Dr
Ste 300
Orange City, FL 32763
Phone (386) 427-9554

12109 County Road 103
Oxford, FL 34484
Phone (352) 205-8981

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc41222_advuroswflorida
  • Direct secure messaging: stephenweiss@aui.medalliesdirect.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME78669 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

685 Peachwood Dr
Deland, FL 32720-0804

Mailing address

12109 County Road 103
Oxford, FL 34484-2951
Phone (352) 205-8981

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
47044OtherBLUE SHIELD
262911900MedicaidFL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 25, 2020.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1073564910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12109 COUNTY ROAD 103",
            "city": "OXFORD",
            "state": "FL",
            "postal_code": "344842951",
            "telephone_number": "352-205-8981",
            "fax_number": "352-391-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 PEACHWOOD DR",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327200804",
            "telephone_number": "386-736-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "STEPHEN",
        "middle_name": "G",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME78669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "47044",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262911900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

Verify at the official NPI Registry.