Individual provider Active NPI

Stan Weiss, M.D.

  • Diagnostic Radiology Physician
  • Syracuse, NY
National Provider Identifier
1508880238
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
1574231 Issued in NY
Practice address
750 E Adams St
3Rd Floor Radiology
Syracuse, NY 13210-2306
Phone
(315) 464-6672
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 157423 NY
Diagnostic Radiology Physician 2085R0202X 1574231 NY Primary

Addresses

Primary practice location

750 E Adams St
3Rd Floor Radiology
Syracuse, NY 13210-2306

Mailing address

224 Harrison St
Suite 601
Syracuse, NY 13202-3056
Phone (315) 464-5660

Other identifiers 1

IdentifierTypeStateIssuer
00842388MedicaidNY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sweiss108122@direct.urmc.rochester.edu Direct
Direct Messaging Address sweiss108122@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040127000135 NY Practitioner - Diagnostic Radiology 0143125518 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Utah School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiologists of Univ of RochesterGroup PAC ID 6800700170, 140 clinicians

Practice addresses (Care Compare)

10 Miracle Mile Dr
Rochester, NY 14623-5851
Phone (585) 602-4423

1000 S Ave
Rochester, NY 14620-2733
Phone (585) 341-6785

156 W Ave
Brockport, NY 14420-1229
Phone (585) 784-2985

2064 Fairport Nine Mile Point Rd
Suite 110
Penfield, NY 14526-1750
Phone (585) 758-0334

350 Parrish St
Canandaigua, NY 14424-1731
Phone (585) 396-6910

601 Elmwood Ave
Rochester, NY 14642-0001

601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-2734

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.74 of 100Reported as group
Quality
71.75
Promoting interoperability
100
Improvement activities
40
Cost
56.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
157423NYMDDiagnostic Radiology Physician
1574231NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiologists of Univ of Rochester Diagnostic Radiology CurrentSince Aug 1, 2016 Accepting new patients
St James Hospital CurrentSince Mar 17, 2017 Accepting new patients
Western New York Radiology Associates LLC Diagnostic Radiology Past Accepting new patients
University Radiology Associates, LLP Diagnostic Radiology Past Accepting new patients
Advanced Digestive Care P a Past Accepting new patients

Locations

7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790

7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200

601 Elmwood Ave
#648
Rochester, NY 14642
Phone (585) 275-1376

4901 Lac de Ville Blvd
Ste 140
Rochester, NY 14618
Phone (585) 275-2734

601 Elmwood Ave
#320
Rochester, NY 14642

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

Interoperability endpoints

  • Direct secure messaging: sweiss108122@direct.urmc.rochester.edu

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.

Hospital & facility affiliations 3

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1508880238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 HARRISON ST",
            "address_2": "SUITE 601",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023056",
            "telephone_number": "315-464-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "address_2": "3RD FLOOR RADIOLOGY",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102306",
            "telephone_number": "315-464-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "STAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "157423",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "1574231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00842388",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sweiss108122@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sweiss108122@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.