Individual provider Active NPI

Avi Weiss, M.D.

  • Urology Physician
  • Las Vegas, NV
National Provider Identifier
1497977334
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
13116 Issued in NV
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

Updated by the provider on Nov 25, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1497977334MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, DC, GA, KY4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20090825000707 NV Practitioner - Urology 5294880316 Reassigns benefits to 1 organization
I20240111002869 DC Practitioner - Urology 5294880316 Reassigns benefits to 1 organization
I20250117001034 GA Practitioner - Urology 5294880316 Reassigns benefits to 1 organization
I20250904003142 KY Practitioner - Urology 5294880316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Midatlantic Urology Associates LLCGroup PAC ID 4385646926, 7 clinicians

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 Hospital, Paducah, KY, CCN 180104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13116CAMDAddiction (Substance Use Disorder) Counselor
125-050007ILMDUrology Physician
13116NVMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Physician Group, Inc CurrentSince Dec 1, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Dec 1, 2025 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Aug 15, 2009 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 1, 2025 Accepting new patients
Midatlantic Urology Associates LLC Urology CurrentSince Jan 1, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 1, 2025 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Aug 15, 2009 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

  • Direct secure messaging: avi.weiss.1@6381.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.