Active NPI
Jennifer S Weaver, MD
- Diagnostic Radiology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- U3761
- Practice address
- 4502 Medical Dr
San Antonio, TX 78229-4402 - Phone
- (210) 358-4000
- Fax
- (210) 567-6418
- NPI assigned
- Jul 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0101239831 | VA | |
| Diagnostic Radiology Physician | 2085R0202X | MD2016-0048 | NM | |
| Diagnostic Radiology Physician | 2085R0202X | 65092 | TN | |
| Diagnostic Radiology Physician | 2085R0202X | U3761 | TX | Primary |
Addresses
Primary practice location
4502 Medical Dr
San Antonio, TX 78229-4402
Mailing address
4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000
Other practice location 1
Msc 10 5530
1University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-0011
Other practice location 2
3601 The Vanderbilt Clinic
Nashville, TN 37232-0001
Phone (615) 936-2000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10007906 | Other | VA | OPTIMA |
| 10007906 | Other | VA | SENTARA |
| 5904084 | Medicaid | NC | |
| 139178 | Other | VA | BCBS |
| P00352135 | Other | VA | RR MEDICARE |
| 1518972884 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jweaver723592@direct.vumc.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NM, TN, TX
- 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
- Diagnostic Radiology
- Education
- Ohio State University College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2016-0048 | NM | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Health Science Center at San Antonio | Diagnostic Radiology | Current | Accepting new patients |
| Medical Center Radiologists Inc | Diagnostic Radiology | Current | Accepting new patients |
| University of Texas Health Science Center at San Antonio | Diagnostic Radiology | Current | Accepting new patients |
| One Hundred Oaks Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| The University of Texas Health Science Center at San Antonio | Diagnostic Radiology | Current | Accepting new patients |
| Unm Medical Group, Inc. | Current | Accepting new patients | |
| Unm Medical Group Inc | Current | Accepting new patients | |
| University of Texas Health Science Center at San Antonio | Past | Accepting new patients | |
| Tuhc Radiology Group LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
719 Thompson Ln
Ste 23300
Nashville, TN 37204
Phone (615) 936-3606
4525 Harding Pike
Ste 102
Nashville, TN 37205
Phone (615) 463-3034
719 Thompson Ln
Ste 20920
Nashville, TN 37204
Phone (615) 936-3606
8311 Ewing Halsell Dr
Fl 1
San Antonio, TX 78229
4940 Charles Katz
San Antonio, TX 78229
Phone (210) 450-9700
7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700
7979 Wurzbach Rd
San Antonio, TX 78229
Phone (210) 450-1000
8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300
4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555
830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000
5544 Greenwich Rd
Ste 200
Virginia Beach, VA 23462
Interoperability endpoints
- jweaver723592@direct.vumc.org
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.
-
dba UT Health Physicians
- Internal Medicine Physician
- San Antonio, TX
- NPI 1720051717
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Norfolk, VA
- NPI 1720079254
-
dba Vanderbilt Imaging Services One Hundred Oaks
- Diagnostic Radiology Physician
- Nashville, TN
- NPI 1245485549
-
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1831218627
-
dba UT Health San Antonio Multispecialty & Research Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
Diagnostic Radiology
-
dba UT Health Imaging
- Diagnostic Radiology Physician
- Boerne, TX
- NPI 1417921834
-
dba UNM Truman Health Services Pharmacy
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1417330044
-
dba UTHSCSA Rehab Medicine
- Prosthetic/Orthotic Supplier
- San Antonio, TX
- NPI 1538224142
-
- Diagnostic Radiology Physician
- Metairie, LA
- NPI 1710029673
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University Health
- General Acute Care Hospital
- San Antonio, TX
- NPI 1821011248
-
dba CHRISTUS Santa Rosa Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1194787218
-
dba Methodist Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
dba Metropolitan Methodist Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
-
dba Methodist Specialty and Transplant Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
-
dba UT Health San Antonio Multispecialty & Research Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
-
dba Baptist Medical Center
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1518972884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4502 MEDICAL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294402",
"telephone_number": "210-358-4000",
"fax_number": "210-567-6418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 MEDICAL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294402",
"telephone_number": "210-358-4000",
"fax_number": "210-567-6418"
}
],
"practiceLocations": [
{
"address_1": "Msc 10 5530",
"address_2": "1University of New Mexico",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871310001",
"country_code": "US",
"telephone_number": "505-272-0011",
"fax_number": "505-272-5821",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3601 The Vanderbilt Clinic",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372320001",
"country_code": "US",
"telephone_number": "615-936-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEAVER",
"first_name": "JENNIFER",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-29",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101239831",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NM",
"license": "MD2016-0048",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "65092",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "U3761",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "10007906",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "10007906",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5904084",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "139178",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00352135",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1518972884",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jweaver723592@direct.vumc.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Health Information Service Provider",
"address_1": "3601 The Vanderbilt Clinic",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.