Individual provider Active NPI

David A Weidman, MD

  • Neurology Physician
  • Phoenix, AZ
National Provider Identifier
1467447656
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
26156 Issued in AZ
Practice address
15715 S 46TH St Ste 100
Phoenix, AZ 85048-0439
Phone
(480) 961-2365
Fax
(480) 961-2382
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 26156 AZ Primary

Addresses

Primary practice location

15715 S 46TH St Ste 100
Phoenix, AZ 85048-0439

Mailing address

4505 E Chandler Blvd Ste 200
Phoenix, AZ 85048-7688
Phone (480) 961-2365

Other practice location 1

901 E Willetta St
#100
Phoenix, AZ 85006-2727
Phone (602) 839-6900 ext. 96900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20051101000417 AZ Practitioner - Neurology 8628054277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
New York University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foothills Neurology P CGroup PAC ID 6507757234, 24 clinicians

Practice addresses (Care Compare)

4530 E Muirwood Dr
Suite 111
Phoenix, AZ 85048-7693
Phone (480) 961-2365

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
71.03
Promoting interoperability
99
Improvement activities
40
Cost
80.74

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Neurology P C Neurology PastSince Apr 16, 2026 Accepting new patients
Northwest Hospital LLC Neurology Past Accepting new patients
Arizona Post-Acute Medical Services 1 PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: david.weidman.1@8409.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.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1467447656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 E CHANDLER BLVD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487688",
            "telephone_number": "480-961-2365",
            "fax_number": "480-961-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15715 S 46TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480439",
            "telephone_number": "480-961-2365",
            "fax_number": "480-961-2382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 E Willetta St",
            "address_2": "#100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062727",
            "country_code": "US",
            "telephone_number": "602-839-6900 x96900",
            "fax_number": "520-742-7894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIDMAN",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AZ",
            "license": "26156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.