Active NPI
Mark B Weitzenfeld, MD
- Urology Physician
- Aventura, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME27164
- Practice address
- 21110 Biscayne Blvd
Suite 401
Aventura, FL 33180-1227 - Phone
- (305) 933-1772
- Fax
- (305) 675-2788
- NPI assigned
- Sep 14, 2007
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | ME27164 | FL | Primary |
Addresses
Primary practice location
21110 Biscayne Blvd
Suite 401
Aventura, FL 33180-1227
Mailing address
2234 Colonial Blvd
Attn: Payer Contracting & Relations Dept.
Fort Myers, FL 33907-1412
Phone (239) 931-7342
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56089 | Other | FL | BLUE CROSS BLUE SHIELD |
| 56089 | Other | FL | BCBS |
| P971396 | Other | FL | OPTIMUM |
| 002364 | Other | FL | NHP |
| 0366037 | Other | FL | CIGNA |
| 1256832 | Other | FL | WELLCARE MEDICARE ONLY |
| P00284474 | Other | FL | RAILROAD MEDICARE |
| 1005619 | Other | FL | CAREPLUS |
| 4200786 | Other | FL | AETNA |
| P1035626 | Other | FL | FREEDOM |
| P0001582 | Other | FL | SIMPLY |
| 203827 | Other | FL | AVMED |
| 2364 | Other | FL | DIMENSION |
| P01609935 | Other | FL | RR MEDICARE |
| 040323700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12408 N 56TH St
Suite 1
Temple Terrace, FL 33617-1522
Phone (813) 980-3104
7614 Jacque Rd
Suite a
Hudson, FL 34667-7195
Phone (727) 862-8548
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| Florida Urology Partners, LLP | Urology | Current | Accepting new patients |
| Florida Urology Partners LLP | Past | Accepting new patients | |
| Genesiscare USA of Florida LLC | Urology | Past | Accepting new patients |
| Mark Alagna MD PA | Urology | Past | Accepting new patients |
| Tampa General Provider Network Inc | Urology | Past | Accepting new patients |
| Dade Broward Urology LLC | Urology | Past | Accepting new patients |
Locations
7614 Jacque Rd
Ste A
Hudson, FL 34667
Phone (727) 862-8548
10441 Quality Dr
Ste 201
Spring Hill, FL 34609
Phone (352) 684-5567
11373 Cortez Blvd
Ste 209
Spring Hill, FL 34613
Phone (352) 596-0786
5015 W Nassau St
Tampa, FL 33607
Phone (813) 356-0196
12408 N 56th St
Ste 1
Temple Terrace, FL 33617
Phone (813) 980-3104
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- mweitzenfeld296351@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 7
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.
-
- Urology Physician
- Tampa, FL
- NPI 1447401955
-
- Urology Physician
- Aventura, FL
- NPI 1952387102
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Non-Pharmacy Dispensing Site
- Tampa, FL
- NPI 1285279430
-
- Urology Physician
- Hudson, FL
- NPI 1356355200
-
- Urology Physician
- Palm Springs, FL
- NPI 1851030282
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Oak Hill Hospital
- General Acute Care Hospital
- Brooksville, FL
- NPI 1013961838
-
dba HCA Florida Bayonet Point Hospital
- General Acute Care Hospital
- Hudson, FL
- NPI 1992759419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496707200000",
"number": "1316132137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234 COLONIAL BLVD",
"address_2": "ATTN: PAYER CONTRACTING & RELATIONS DEPT.",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071412",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21110 BISCAYNE BLVD",
"address_2": "SUITE 401",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331801227",
"telephone_number": "305-933-1772",
"fax_number": "305-675-2788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEITZENFELD",
"first_name": "MARK",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-14",
"last_updated": "2017-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME27164",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "56089",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "56089",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM",
"identifier": "P971396",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "002364",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0366037",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE MEDICARE ONLY",
"identifier": "1256832",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00284474",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREPLUS",
"identifier": "1005619",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4200786",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FREEDOM",
"identifier": "P1035626",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIMPLY",
"identifier": "P0001582",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "203827",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIMENSION",
"identifier": "2364",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01609935",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "040323700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; 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.