Active NPI
Matthew Weber, DPM
- Podiatrist
- Waconia, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1093
- Practice address
- 560 S Maple St Ste 400
Waconia, MN 55387-1757 - Phone
- (952) 856-4002
- Fax
- (952) 442-8094
- NPI assigned
- Apr 4, 2018
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1093 | MN | Primary |
Addresses
Primary practice location
560 S Maple St Ste 400
Waconia, MN 55387-1757
Mailing address
560 S Maple St Ste 400
Waconia, MN 55387-1757
Phone (952) 856-4002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Hundertmark Rd
Suite 115N
Chaska, MN 55318-1584
Phone (952) 442-7820
500 S Maple St
Waconia, MN 55387-1752
Phone (952) 442-2191
560 S Maple St
Waconia, MN 55387-1757
560 S Maple St
Waconia, MN 55387-1759
7907 Powers Blvd
Chanhassen, MN 55317-9502
Phone (952) 934-0570
Hospital & facility affiliations
- Ridgeview Medical Center
- Ridgeview Sibley Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 22 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 255 | MN | MD | Mental Health Counselor |
| 1093 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ridgeview Medical Center | Current | Accepting new patients | |
| Ridgeview Medical Center | Current | Accepting new patients | |
| Minnesota Valley Health Center Inc | Current | Accepting new patients | |
| Sibley Medical Center | Current | Accepting new patients | |
| Minnesota Valley Health Center Inc | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Minnesota Region | Past | Accepting new patients |
Locations
601 W Chandler St
Arlington, MN 55307
Phone (507) 964-2271
7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570
111 Hundertmark Rd
Ste 115N
Chaska, MN 55318
Phone (952) 361-2450
916 Saint Peter Ave E
Delano, MN 55328
Phone (763) 972-9172
621 S 4th St
Le Sueur, MN 56058
Phone (507) 665-3375
500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191
560 S Maple St
Ste 400
Waconia, MN 55387
Phone (952) 442-3188
Interoperability endpoints
- mweber1599349@ehrdirect.mayoclinicmsg.org
Organizations & group practices 6
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.
-
- Certified Registered Nurse Anesthetist
- Waconia, MN
- NPI 1528364429
-
- Critical Access Hospital
- Le Sueur, MN
- NPI 1730248907
-
- Critical Access Hospital
- Arlington, MN
- NPI 1740240225
-
- Medicare Defined Swing Bed Hospital Unit
- Le Sueur, MN
- NPI 1215097902
-
- Diagnostic Radiology Physician
- Waconia, MN
- NPI 1811174923
-
- Multi-Specialty Clinic/Center
- Mankato, MN
- NPI 1578545422
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waconia, MN
- NPI 1275608457
-
- General Acute Care Hospital
- Chaska, MN
- NPI 1710748538
-
- Critical Access Hospital
- Arlington, MN
- NPI 1740240225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1275039596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 S MAPLE ST STE 400",
"city": "WACONIA",
"state": "MN",
"postal_code": "553871757",
"telephone_number": "952-856-4002",
"fax_number": "952-442-8094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 S MAPLE ST STE 400",
"city": "WACONIA",
"state": "MN",
"postal_code": "553871757",
"telephone_number": "952-856-4002",
"fax_number": "952-442-8094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "MATTHEW",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-04",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MN",
"license": "1093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waconia, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.