NPIMap

Individual provider Active NPI

Brian D Weaver, M.D.

  • Diagnostic Radiology Physician
  • Blue Ash, OH
National Provider Identifier
1366498586
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35062598 Issued in OH
Practice address
9825 Kenwood Rd
Suite 105
Blue Ash, OH 45242-6251
Phone
(513) 872-4500
Fax
(513) 872-4518
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35062598 OH Primary

Addresses

Primary practice location

9825 Kenwood Rd
Suite 105
Blue Ash, OH 45242-6251

Mailing address

9825 Kenwood Rd
Suite 105
Blue Ash, OH 45242-6251
Phone (513) 872-4500

Other identifiers 3

IdentifierTypeStateIssuer
0187668MedicaidOH
200274500MedicaidIN
64013816MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040811001425 OH Practitioner - Diagnostic Radiology 7315919040 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Cincinnati College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians

Practice addresses (Care Compare)

1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-8681

728 Lexington Ave
Terrace Park, OH 45174-1218
Phone (614) 340-7740

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35062598OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Radiology Inc. Diagnostic Radiology CurrentSince Jun 15, 2000 Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Somc Medical Care Foundation, Inc. Diagnostic Radiology CurrentSince Feb 10, 2026 Accepting new patients
Professional Readers Group, Inc Past Accepting new patients
Riverhills Healthcare Inc Diagnostic Radiology PastSince Jan 1, 2016 Accepting new patients
Riverhills Healthcare, Inc. Past Accepting new patients

Locations

9825 Kenwood Rd
Ste 105
Blue Ash, OH 45242
Phone (513) 527-0408

8154 Montgomery Rd
Ste 102
Cincinnati, OH 45236
Phone (513) 686-8000

4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000

4777 E Galbraith Rd
Fl 1
Cincinnati, OH 45236
Phone (513) 791-9959

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

3125 Hamilton Mason Rd
Fairfield Township, OH 45011
Phone (513) 394-8888

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

Interoperability endpoints

  • Direct secure messaging: fwu5455@yourcarecommunity.org
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.822

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.

Hospital & facility affiliations 7

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1366498586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 KENWOOD RD",
            "address_2": "SUITE 105",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426251",
            "telephone_number": "513-872-4500",
            "fax_number": "513-872-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9825 KENWOOD RD",
            "address_2": "SUITE 105",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426251",
            "telephone_number": "513-872-4500",
            "fax_number": "513-872-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "BRIAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35062598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0187668",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200274500",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64013816",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

Verify at the official NPI Registry.