Individual provider Active NPI

Richard L Weyman IV, MD

  • Gastroenterology Physician
  • Bettendorf, IA
National Provider Identifier
1295717478
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
31175 Issued in IA
Practice address
2222 53Rd Ave
Bettendorf, IA 52722-7546
Phone
(563) 383-2686
Fax
(563) 884-8144
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 31175 IA Primary

Addresses

Primary practice location

2222 53Rd Ave
Bettendorf, IA 52722-7546

Mailing address

2222 53Rd Ave
Bettendorf, IA 52722-7546
Phone (563) 383-2686

Other identifiers 2

IdentifierTypeStateIssuer
0184267MedicaidIA
1238640OtherIACSA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Richard.Weyman@direct.genesishealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100812000132 IA Practitioner - Gastroenterology 0840266276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Pennsylvania State University College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 6103829338, 262 clinicians

Practice addresses (Care Compare)

2222 53Rd Ave
Bettendorf, IA 52722-7546
Phone (563) 421-8900

Hospital & facility affiliations

  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
  • Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275
  • Mercyone Genesis Dewitt Medical Center Hospital, Dewitt, IA, CCN 161313

Merit-based Incentive Payment System (MIPS)

Final score
34.85 of 100Reported as group
Quality
21.4
Improvement activities
0
Cost
76.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31175IAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System CurrentSince Jun 28, 2021 Accepting new patients
Genesis Health System CurrentSince Jun 28, 2021 Accepting new patients

Locations

2222 53rd Ave
Bettendorf, IA 52722
Phone (319) 383-2686

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

1118 11th St
De Witt, IA 52742
Phone (563) 242-7522

Interoperability endpoints

  • Direct secure messaging: richard.weyman@direct.genesishealth.com

Organizations & group practices 2

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 3

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1295717478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 53RD AVE",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527227546",
            "telephone_number": "563-383-2686",
            "fax_number": "563-884-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 53RD AVE",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527227546",
            "telephone_number": "563-383-2686",
            "fax_number": "563-884-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEYMAN",
        "first_name": "RICHARD",
        "middle_name": "L",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2023-03-07",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IA",
            "license": "31175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0184267",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSA",
            "identifier": "1238640",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Richard.Weyman@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2222 53rd Ave",
            "city": "Bettendorf",
            "state": "IA",
            "country_code": "US",
            "postal_code": "527227546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

Verify at the official NPI Registry.