Individual provider Active NPI

Carl P Weiner, MD

  • Maternal & Fetal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1174553440
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
63942 Issued in AZ
Practice address
500 W Thomas Rd Ste 700
Phoenix, AZ 85013-4295
Phone
(602) 406-7048
Fax
(602) 406-7650
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X D0050832 MD
Maternal & Fetal Medicine Physician 207VM0101X 63942 AZ Primary

Addresses

Primary practice location

500 W Thomas Rd Ste 700
Phoenix, AZ 85013-4295

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786

Other practice location 1

10214 N Tatum Blvd Ste A600
Phoenix, AZ 85028-4247
Phone (602) 406-1530

Other practice location 2

3477 S Mercy Rd Ste 108
Gilbert, AZ 85297-0440
Phone (480) 909-3789

Other practice location 3

485 S Dobson Rd Ste 101
Chandler, AZ 85224-5603
Phone (480) 728-5463

Other identifiers 3

IdentifierTypeStateIssuer
349451900MedicaidMD
S186 / 0067OtherMDBLUECHOICE
LT 35 / 543699-01OtherMDBC / BS OF MD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, IN, MS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20250620001524 ND Practitioner - Obstetrics/Gynecology 6002709474 Reassigns benefits to 1 organization
I20251020002716 IN Practitioner - Obstetrics/Gynecology 6002709474 Reassigns benefits to 1 organization
I20260508000128 MS Practitioner - Obstetrics/Gynecology 6002709474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Georgia School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 W Martin Luther King Blvd
Suite 1000
Chattanooga, TN 37402-2571

3245 Health Dr
Suite 100
Granger, IN 46530-1380

PO Box
Suite 11407
Birmingham, AL 35246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63942AZMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Medical Group, Inc. Current Accepting new patients
Sanford Bismarck CurrentSince Jun 4, 2025 Accepting new patients
Beacon Medical Group Inc CurrentSince Nov 10, 2025 Accepting new patients
Sanford Bismarck CurrentSince Jun 4, 2025 Accepting new patients
Beacon Medical Group, Inc. Maternal & Fetal Medicine CurrentSince Nov 10, 2025 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Past Accepting new patients
University of MD Obstetrical and Gynecological Asso. PA PastSince Jan 21, 2024 Accepting new patients

Locations

100 Navarre Pl
Ste 4410
South Bend, IN 46601
Phone (574) 647-1650

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1174553440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33269",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850673269",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W THOMAS RD STE 700",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134295",
            "telephone_number": "602-406-7048",
            "fax_number": "602-406-7650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10214 N Tatum Blvd Ste A600",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850284247",
            "country_code": "US",
            "telephone_number": "602-406-1530",
            "fax_number": "602-406-1539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3477 S Mercy Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852970440",
            "country_code": "US",
            "telephone_number": "480-909-3789",
            "fax_number": "480-728-8891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "485 S Dobson Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852245603",
            "country_code": "US",
            "telephone_number": "480-728-5463",
            "fax_number": "480-728-5449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINER",
        "first_name": "CARL",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MD",
            "license": "D0050832",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "AZ",
            "license": "63942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "349451900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHOICE",
            "identifier": "S186 / 0067",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC / BS OF MD",
            "identifier": "LT 35 / 543699-01",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.