Individual provider Active NPI

David D Weaver, MD

  • Clinical Genetics (M.D.) Physician
  • Indianapolis, IN
National Provider Identifier
1508822545
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
01026914A Issued in IN
Practice address
1002 Wishard Blvd
Indianapolis, IN 46202-4163
Phone
(317) 944-3966
Fax
(317) 968-1354
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X 01026914 IN
Pediatrics Physician 208000000X 01026914A IN
Clinical Genetics (M.D.) Physician 207SG0201X 01026914A IN Primary

Addresses

Primary practice location

1002 Wishard Blvd
Indianapolis, IN 46202-4163

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

975 W Walnut St
Ib 130
Indianapolis, IN 46202-5181
Phone (317) 274-3966

Other identifiers 1

IdentifierTypeStateIssuer
100059190MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20041101000751 IN Practitioner - Medical Genetics and GenomicsPractitioner - Internal MedicinePractitioner - Pediatric Medicine 6305808403 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Genetics and GenomicsAlso: Pediatric Medicine
Education
Oregon Health Sciences University School of Medicine, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group Riley Specialists LLCGroup PAC ID 9638669815, 285 clinicians

Practice addresses (Care Compare)

705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Phone (888) 484-3258

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01026914INMDClinical Genetics (M.D.) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group Riley Specialists, LLC Pediatrics CurrentSince Jan 1, 2026 Accepting new patients
University Family Physicians, Inc. CurrentSince Jun 1, 2016 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Jul 1, 2025 Accepting new patients
University Family Physicians, Inc. CurrentSince Jun 1, 2016 Accepting new patients
Major Hospital Past Accepting new patients

Locations

7216 Solutions Ctr
Chicago, IL 60677

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779

975 W Walnut St
Indianapolis, IN 46202
Phone (317) 274-2241

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

975 W Walnut St
#130
Indianapolis, IN 46202
Phone (317) 274-2241

1002 Wishard Blvd
Indianapolis, IN 46202
Phone (317) 692-2300

Interoperability endpoints

  • Direct secure messaging: dweaver1@direct.iuhealth.org

Organizations & group practices 5

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1508822545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 WISHARD BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462024163",
            "telephone_number": "317-944-3966",
            "fax_number": "317-968-1354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 W Walnut St",
            "address_2": "IB 130",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025181",
            "country_code": "US",
            "telephone_number": "317-274-3966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "DAVID",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "IN",
            "license": "01026914",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01026914A",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "IN",
            "license": "01026914A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100059190",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.