Individual provider Active NPI

Denise C Weaver, MD

  • Infectious Disease Physician
  • Hobart, IN
National Provider Identifier
1093772378
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
01040182 Issued in IN
Practice address
1400 S Lake Park Ave Ste 304
Hobart, IN 46342-6791
Phone
(219) 947-6638
Fax
(219) 703-6693
NPI assigned
Apr 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 01040182 IN Primary

Addresses

Primary practice location

1400 S Lake Park Ave Ste 304
Hobart, IN 46342-6791

Mailing address

8558 Broadway
Merrillville, IN 46410-7032
Phone (219) 392-7084

Other identifiers 1

IdentifierTypeStateIssuer
100361920MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100311000999 IN Practitioner - Infectious DiseasePractitioner - Internal Medicine 1850426198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Rush Medical College of Rush University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

1400 S Lake Park Ave
Suite 300
Hobart, IN 46342-6791
Phone (219) 942-6711

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01040182INMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Physician Network CurrentSince Sep 11, 2014 Accepting new patients
Community Care Network Inc CurrentSince Oct 31, 2016 Accepting new patients
Medical Specialists Inc., P.C. Infectious Disease Current Accepting new patients
Franciscan Physician Network CurrentSince Sep 11, 2014 Accepting new patients
Franciscan Health Michigan City Past Accepting new patients
Medical Specialists Inc., PC Past Accepting new patients
Franciscan Medical Specialists Infectious Disease Past Accepting new patients

Locations

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1400 S Lake Park Ave
Ste 304
Hobart, IN 46342
Phone (219) 947-6638

1400 S Lake Park Ave
Ste 300
Hobart, IN 46342
Phone (219) 942-1169

1400 S Lake Park Ave
Ste 305
Hobart, IN 46342
Phone (219) 945-1523

8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084

759 45th St
Munster, IN 46321
Phone (219) 836-0296

757 45th St
Ste 201
Munster, IN 46321
Phone (219) 922-5550

7905 Calumet Ave
Munster, IN 46321
Phone (219) 836-5800

761 45th St
Ste 103
Munster, IN 46321
Phone (219) 922-3002

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

11355 W 97th Ln
Saint John, IN 46373
Phone (219) 365-5577

2001 US Highway 41
Schererville, IN 46375
Phone (219) 365-0970

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: dweaver7433@ssdirect.comhs.org

Organizations & group practices 7

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 7

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1093772378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8558 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107032",
            "telephone_number": "219-392-7084",
            "fax_number": "219-703-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S LAKE PARK AVE STE 304",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426791",
            "telephone_number": "219-947-6638",
            "fax_number": "219-703-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "DENISE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IN",
            "license": "01040182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100361920",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, IN

Sources for this page

Verify at the official NPI Registry.