Individual provider Active NPI

Steven Darrow Weisbord, MD, MSC

  • Nephrology Physician
  • Providence, RI
National Provider Identifier
1336247105
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD068880L Issued in PA
Practice address
623 Atwells Avenue Eagle Square
VA Boston Healthcare System
Providence, RI 02909
Phone
(857) 579-4103
NPI assigned
Sep 20, 2006
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD068880L PA Primary

Addresses

Primary practice location

623 Atwells Avenue Eagle Square
VA Boston Healthcare System
Providence, RI 02909

Mailing address

7008 Reynolds St
Pittsburgh, PA 15208-2852
Phone (412) 371-5477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20121017000221 PA Order and Referring Only - NephrologyPractitioner - Nephrology 6305834557

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-068880-LPAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vamc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1336247105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7008 REYNOLDS ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152082852",
            "telephone_number": "412-371-5477",
            "fax_number": "412-688-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 ATWELLS AVENUE EAGLE SQUARE",
            "address_2": "VA BOSTON HEALTHCARE SYSTEM",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02909",
            "telephone_number": "857-579-4103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBORD",
        "first_name": "STEVEN",
        "middle_name": "DARROW",
        "name_prefix": "Dr.",
        "credential": "MD, MSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD068880L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.