Jared Blake Weiss, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Fort Lauderdale, FL
NPI 1215469036 · NPPES record last updated Apr 14, 2025
Key facts
- NPI
- 1215469036
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- ME160648 (FL)
- Practice address
- 1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510 - Phone
- (954) 355-5500
- NPI assigned
- Mar 30, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Broward Radiologists, P.a.
Practice addresses (Care Compare)
1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Phone (954) 262-1140
Hospital & facility affiliations
- Broward Health North
- Broward Health Coral Springs
- Broward Health Medical Center
- Broward Health Imperial Point
- Holy Cross Hospital
- Broward Health North-Inpatient Rehabilitation Unit
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 96.88
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230525002706 | FL | Practitioner - Diagnostic Radiology | 3072861673 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME160648 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Broward Radiologists, P.a. | Diagnostic Radiology | Current |
Accepting new patients |
| North Broward Hospital District | Current |
Accepting new patients | |
| Affiliated Radiologists, SC | Past | Accepting new patients |
Locations
201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400
6330 N Andrews Ave
Ft Lauderdale, FL 33309
1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME160648 | FL | Yes |
Addresses
Primary practice location
1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Mailing address
6330 N Andrews Ave Ste 299
Ft Lauderdale, FL 33309-2130
Phone (954) 839-8080
Other practice location 1
1725 W Harrison St Ste 437
Chicago, IL 60612-3893
Phone (312) 563-4270
Other practice location 2
2900 N Lake Shore Dr
Chicago, IL 60657-5640
Phone (773) 665-6730
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118435600 | Medicaid | FL |
NPI Registry JSON
{
"created_epoch": "1490832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1215469036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6330 N ANDREWS AVE STE 299",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333092130",
"telephone_number": "954-839-8080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 S ANDREWS AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162510",
"telephone_number": "954-355-5500"
}
],
"practiceLocations": [
{
"address_1": "1725 W Harrison St Ste 437",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606123893",
"country_code": "US",
"telephone_number": "312-563-4270",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2900 N Lake Shore Dr",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606575640",
"country_code": "US",
"telephone_number": "773-665-6730",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEISS",
"first_name": "JARED",
"middle_name": "BLAKE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-30",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME160648",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118435600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
- Orville Weir
- Jeffrey Weisberg
- Andrew Weiss
- Daniel Nathan Weiss
- Eric Spencer Weiss
- Michael Weiss
- Daniel Weitz
- Marguerite C Welding
- Lawrence Weller III
- Robert Weller
All providers in Fort Lauderdale, FL · Diagnostic Radiology Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.