NPIMap

Individual provider Active NPI

Mark D Weber, MD

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1295048296
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME117864 Issued in FL
Practice address
2377 Dunn Ave
Jacksonville, FL 32218-6983
Phone
(904) 902-1201
Fax
(904) 902-1202
NPI assigned
Jul 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TRN15613 FL
Physician Assistant 363A00000X 0110003356 VA
Family Medicine Physician 207Q00000X ME117864 FL Primary

Addresses

Primary practice location

2377 Dunn Ave
Jacksonville, FL 32218-6983

Mailing address

2675 Winkler Ave FL 2
Fort Myers, FL 33901-9342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131113001922 FL Practitioner - Family Practice 4880887876 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians

Practice addresses (Care Compare)

280 Dundas Dr
Jacksonville, FL 32218-5517
Phone (904) 902-1201

Hospital & facility affiliations

  • Concierge Home Care Home health agency, Jacksonville, FL, CCN 687131
  • Baptist Home Health Care by Bayada Home health agency, Jacksonville, FL, CCN 107482
  • Uf Health Home Care - Jacksonville Home health agency, Jacksonville, FL, CCN 107125
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Shands Jacksonville Hospital, Jacksonville, FL, CCN 100001

Merit-based Incentive Payment System (MIPS)

Final score
93.44 of 100Reported as individual
Quality
88.07
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN15613FLMDFamily Medicine Physician
0110003356VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC Family Medicine CurrentSince Jul 18, 2022 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Nov 7, 2015 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Family Medicine CurrentSince Nov 7, 2015 Accepting new patients
Millennium Physician Group LLC Family Medicine CurrentSince Jul 18, 2022 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients

Locations

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

2377 Dunn Ave
Jacksonville, FL 32218
Phone (904) 633-0700

14043 N Main St
Jacksonville, FL 32218
Phone (904) 902-1201

14043 N Main St
Ste 107
Jacksonville, FL 32218
Phone (904) 902-1201

280 Dundas Dr
Jacksonville, FL 32218
Phone (904) 751-4906

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

Interoperability endpoints

  • Direct secure messaging: mark.weber.1@4290.direct.athenahealth.com

Organizations & group practices 5

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 9

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": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1295048296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2377 DUNN AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322186983",
            "telephone_number": "904-902-1201",
            "fax_number": "904-902-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "MARK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-19",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "TRN15613",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003356",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME117864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.