Benjamin Watson Weaver, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1200336 Issued in KS

Practice address

1819 N Greenwich Rd
Suite B
Wichita, KS 67206-3411

Phone

(316) 269-3338

Fax

(316) 264-5516

NPI assigned

Oct 4, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

66.93 of 100Reported as individual

Quality

90.65

Promoting interoperability

0

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: benw@ckpa.emadirect.md

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.

• Central Kansas Podiatry Associates

  • Podiatrist
  • Wichita, KS
  • NPI 1184612335
  Medicare reassignment NPD
• Central Kansas Podiatry Associates

  • Podiatrist
  • El Dorado, KS
  • NPI 1194929711
  NPD (past) Authorized official

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1083601009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063411",
            "telephone_number": "316-269-3338",
            "fax_number": "316-264-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 N GREENWICH RD",
            "address_2": "SUITE B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063411",
            "telephone_number": "316-269-3338",
            "fax_number": "316-264-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "BENJAMIN",
        "middle_name": "WATSON",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KS",
            "license": "1200336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "102715",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100454970A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashlynn Faith Wcislo, COTA/L
• Wealth for Health
• Darcy R Wear, LMSW
• Ginger Weatherby, LMFT
• Karl Dean Weatherhead, D.C.
• Kennedy Weaver
• Krista Kay Weaver, APRN
• Rourk Thomas Weaver, D.C.
• Celeste Webb
• Craig R. Webb, M.D.

• Podiatrist in Wichita, KS
• Providers in Wichita, KS by specialty
• Podiatrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.

Verify at the official NPI Registry.