Individual provider Active NPI

Gregg D Weinberg, MD

  • Vascular & Interventional Radiology Physician
  • Richmond, VA
National Provider Identifier
1457301822
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
0101058262 Issued in VA
Practice address
1508 Willow Lawn Dr
Ste 117
Richmond, VA 23230-3421
Phone
(804) 288-8102
Fax
(804) 282-3744
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101058262 VA
Vascular & Interventional Radiology Physician 2085R0204X 0101058262 VA Primary

Addresses

Primary practice location

1508 Willow Lawn Dr
Ste 117
Richmond, VA 23230-3421

Mailing address

1508 Willow Lawn Dr
Ste 117
Richmond, VA 23230-3421
Phone (804) 288-8102

Other practice location 1

14540 John Marshall Hwy Ste 104
Gainesville, VA 20155-1693
Phone (703) 712-6062

Other identifiers 2

IdentifierTypeStateIssuer
224564OtherVAANTHEM
1457301822MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20081121000268 VA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 1153413166 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
University of Texas Southwestern Medical School at Dallas, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cambria Somerset Radiology and Nuclear Medicine Group IncGroup PAC ID 7113824277, 38 clinicians

Practice addresses (Care Compare)

3600 Salles Ridge CT
Midlothian, VA 23113-2037
Phone (814) 535-4065

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Richmond Inc Nuclear Radiology CurrentSince Jan 1, 2021 Accepting new patients
University of Virginia Physicians Group CurrentSince Nov 1, 2022 Accepting new patients
Mori Bean and Brooks Inc Body Imaging CurrentSince Jan 1, 2022 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Jun 30, 2023 Accepting new patients
Cambria Somerset Radiology & Nuclear Medicine Group, Inc. Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Sheridan Radiology Services of Central Florida, Inc. Diagnostic Radiology Past Accepting new patients

Locations

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

1450 Scalp Ave
Ste 2100
Johnstown, PA 15904
Phone (814) 269-5211

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

501 Sunset Ln
Culpeper, VA 22701
Phone (540) 829-4100

14540 John Marshall Hwy
Ste 104
Gainesville, VA 20155
Phone (703) 712-6062

15195 Heathcote Blvd
Ste 350
Haymarket, VA 20169
Phone (571) 284-3180

411 W Randolph Rd
Hopewell, VA 23860
Phone (804) 452-3624

2602 Buford Rd
North Chesterfield, VA 23235
Phone 8042728806 ext. 321

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852

Organizations & group practices 6

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 8

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1457301822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 WILLOW LAWN DR",
            "address_2": "STE 117",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303421",
            "telephone_number": "804-288-8102",
            "fax_number": "804-282-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 WILLOW LAWN DR",
            "address_2": "STE 117",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303421",
            "telephone_number": "804-288-8102",
            "fax_number": "804-282-3744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14540 John Marshall Hwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "VA",
            "postal_code": "201551693",
            "country_code": "US",
            "telephone_number": "703-712-6062",
            "fax_number": "571-445-3075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "GREGG",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101058262",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101058262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "224564",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457301822",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.