Individual provider Active NPI

Andrew James Weintraub, PA-C

  • Physician Assistant
  • Mesa, AZ
National Provider Identifier
1497074454
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5365 Issued in AZ
Practice address
6644 E Baywood Ave
Mesa, AZ 85206-1747
Phone
(480) 321-2000
NPI assigned
May 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11108 MN
Physician Assistant 363A00000X 5365 AZ Primary

Addresses

Primary practice location

6644 E Baywood Ave
Mesa, AZ 85206-1747

Mailing address

8540 E McDowell Rd Unit 8
Mesa, AZ 85207-1430
Phone (480) 845-3565

Other practice location 1

4010 W 65th St
Edina, MN 55435-1706
Phone (952) 920-0970

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130604000894 AZ Practitioner - Physician Assistant 7315103439 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
81.6
Improvement activities
40
Cost
77.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5365AZMDPsychologist
11108MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America-Arizona, PC CurrentSince Aug 1, 2023 Accepting new patients
Tri-City Express Care, PLLC CurrentSince Mar 27, 2013 Accepting new patients
Infinite Health Collaborative, PA Past Accepting new patients
Infinite Health Collaborative, PA Past Accepting new patients

Locations

2875 W Ray Rd
Ste 8
Chandler, AZ 85224
Phone (480) 726-3440

495 N Pinal Pkwy
Ste 106
Florence, AZ 85132
Phone (520) 568-0573

890 W Elliot Rd
Ste 103
Gilbert, AZ 85233
Phone (480) 241-7564

920 E Williams Field Rd
Ste 101
Gilbert, AZ 85295
Phone (480) 499-0201

3730 W Happy Valley Rd
Ste 100
Glendale, AZ 85310
Phone (623) 277-4140

1507 N Litchfield Rd
Ste 200
Goodyear, AZ 85395
Phone (623) 215-0040

1955 S Signal Butte Rd
Ste 103
Mesa, AZ 85209
Phone (480) 214-4466

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661

1810 S Power Rd
Ste 101
Mesa, AZ 85206
Phone (480) 214-0045

4902 E Shea Blvd
Ste 101
Scottsdale, AZ 85254
Phone (480) 214-4468

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

7850 N Silverbell Rd
Ste 132
Tucson, AZ 85743
Phone (480) 500-2286

2460 N Swan Rd
Ste 140
Tucson, AZ 85712
Phone (520) 441-5405

1895 W Valencia Rd
Ste 101
Tucson, AZ 85746
Phone (520) 576-5104

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

Organizations & group practices 9

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": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1497074454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 E MCDOWELL RD UNIT 8",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852071430",
            "telephone_number": "480-845-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6644 E BAYWOOD AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061747",
            "telephone_number": "480-321-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4010 W 65th St",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554351706",
            "country_code": "US",
            "telephone_number": "952-920-0970",
            "fax_number": "952-920-0148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINTRAUB",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-28",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "11108",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.