Active NPI
Avi Weiss, M.D.
- Urology Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 13116
- Practice address
- 3150N Tenaya Way 165
Las Vegas, NV 89128-0462 - Phone
- (702) 877-0814
- Fax
- (702) 877-3238
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 125-050007 | IL | |
| Urology Physician | 208800000X | 13116 | NV | Primary |
Addresses
Primary practice location
3150N Tenaya Way 165
Las Vegas, NV 89128-0462
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 877-0814
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497977334 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, DC, GA, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Trillium Way
Corbin, KY 40701-8420
Phone (606) 523-1934
2605 Kentucky Ave
Suite 301
Paducah, KY 42003-3802
Phone (270) 443-1220
7500 Greenway Ctr Dr
FL 8
Greenbelt, MD 20770-3502
Phone (301) 477-2000
Hospital & facility affiliations
- Baptist Health Paducah
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13116 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 125-050007 | IL | MD | Urology Physician |
| 13116 | NV | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Optum Medical Group Rhodes P C | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Midatlantic Urology Associates LLC | Urology | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Optum Medical Group Rhodes P C | Current | Accepting new patients |
Locations
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521
4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390
1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911
2605 Kentucky Ave
Ste 301
Paducah, KY 42003
Phone (270) 443-1220
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
7500 Greenway Center Dr
Fl 8
Greenbelt, MD 20770
Phone (301) 477-2000
7500 Greenway Center Dr
Ste A
Greenbelt, MD 20770
Phone (301) 474-3636
58 N Pecos Rd
Henderson, NV 89074
Phone (702) 822-2000
3150 N Tenaya Way
Ste 165
Las Vegas, NV 89128
Phone (702) 877-0814
1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253
Interoperability endpoints
- avi.weiss.1@6381.direct.athenahealth.com
- aweiss12753@direct.umcsn.com
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Paducah, KY
- NPI 1922401611
-
- Specialist
- Las Vegas, NV
- NPI 1063458594
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
- Nurse Practitioner
- Lexington, KY
- NPI 1518360296
-
- Radiation Oncology Physician
- Las Vegas, NV
- NPI 1225609464
-
- Nurse Practitioner
- Nicholasville, KY
- NPI 1255805586
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Paducah, KY
- NPI 1730264128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448409600000",
"number": "1497977334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35380",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891335380",
"telephone_number": "702-877-0814",
"fax_number": "702-887-3238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150N TENAYA WAY 165",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280462",
"telephone_number": "702-877-0814",
"fax_number": "702-877-3238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "AVI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2015-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IL",
"license": "125-050007",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NV",
"license": "13116",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497977334",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.