Individual provider Active NPI

Edward Weiss, M.D.

  • Internal Medicine Physician
  • Boston, MA
National Provider Identifier
1447285598
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
81289 Issued in MA
Practice address
294 Washington St
Suite 219
Boston, MA 02108-4634
Phone
(617) 426-5500
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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 81289 MA Primary

Addresses

Primary practice location

294 Washington St
Suite 219
Boston, MA 02108-4634

Mailing address

294 Washington St
Apt. No. 219
Boston, MA 02108-4634
Phone (617) 426-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20060330000008 MA Practitioner - Internal Medicine 2769490960 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care of Boston Management Corporation Internal Medicine CurrentSince Jul 1, 1995 Accepting new patients
Downtown Physical Therapy and Rehabilitation Inc. PastSince Mar 10, 2011 Accepting new patients

Locations

294 Washington St
Ste 219
Boston, MA 02108
Phone (617) 426-5500

294 Washington St
Boston, MA 02108
Phone (617) 426-5500

93 Pond St
Sharon, MA 02067
Phone (781) 784-9212

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1447285598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 WASHINGTON ST",
            "address_2": "APT. NO. 219",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021084634",
            "telephone_number": "617-426-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 WASHINGTON ST",
            "address_2": "SUITE 219",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021084634",
            "telephone_number": "617-426-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "81289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.