NPIMap

Individual provider Active NPI

William Todd Weiss, M.D.

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1386713808
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD021817 Issued in TN
Practice address
6401 Poplar Ave
Suite 270
Memphis, TN 38119-4823
Phone
(901) 766-1967
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD021817 TN Primary

Addresses

Primary practice location

6401 Poplar Ave
Suite 270
Memphis, TN 38119-4823

Mailing address

6401 Poplar Ave
Suite 270
Memphis, TN 38119-4823
Phone (901) 766-1967

Other identifiers 1

IdentifierTypeStateIssuer
3063138MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20081008000735 TN Practitioner - Internal Medicine 8325934755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
East Tennessee State University Quillen College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6401 Poplar Ave
Suite 270
Memphis, TN 38119-4846
Phone (901) 766-1967

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD021817TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William T. Weiss, PLLC Internal Medicine Current Accepting new patients
William Todd Weiss M D Internal Medicine CurrentSince Aug 1, 2008 Accepting new patients
Martin Jeffrey Weiss MD Internal Medicine Past Accepting new patients

Locations

6401 Poplar Ave
Ste 270
Memphis, TN 38119
Phone (901) 684-5356

Interoperability endpoints

  • Direct secure messaging: william.weiss.1@14939.direct.athenahealth.com
  • Direct secure messaging: wweiss35026@mlh.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/14941/brand/1/csg/1/fhir/r4
  • Direct secure messaging: william.weiss.1@14941.direct.athenahealth.com

Organizations & group practices 3

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1386713808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 POPLAR AVE",
            "address_2": "SUITE 270",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194823",
            "telephone_number": "901-766-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 POPLAR AVE",
            "address_2": "SUITE 270",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194823",
            "telephone_number": "901-766-1967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "WILLIAM",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD021817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3063138",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.