Active NPI
Barry J. Weckesser, M.D.
- Cardiovascular Disease Physician
- Venice, FL
National Provider Identifier
1194719120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME15557
- Practice address
- 1370 E Venice Ave
Suite 102
Venice, FL 34285-9082 - Phone
- (941) 412-0026
- Fax
- (941) 412-0027
- NPI assigned
- Sep 6, 2005
- Last updated
- Jul 25, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME15557 | FL | Primary |
Addresses
Primary practice location
1370 E Venice Ave
Suite 102
Venice, FL 34285-9082
Mailing address
1370 E Venice Ave
Suite 102
Venice, FL 34285-9082
Phone (941) 412-0026
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370246400 | Medicaid | FL | |
| 14622 | Other | FL | BCBS |
| 202641604 | Other | FL | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME15557 | FL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Juan E. Nunez, M.D. P.a | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Venice, FL
- NPI 1952690992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343174400000",
"number": "1194719120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1370 E VENICE AVE",
"address_2": "SUITE 102",
"city": "VENICE",
"state": "FL",
"postal_code": "342859082",
"telephone_number": "941-412-0026",
"fax_number": "941-412-0027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 E VENICE AVE",
"address_2": "SUITE 102",
"city": "VENICE",
"state": "FL",
"postal_code": "342859082",
"telephone_number": "941-412-0026",
"fax_number": "941-412-0027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WECKESSER",
"first_name": "BARRY",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-06",
"last_updated": "2012-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME15557",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370246400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "14622",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "202641604",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.