Individual provider Active NPI

Gary Ries Weltman, M.D.

  • Adult Medicine Physician
National Provider Identifier
1548372006
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
63977 Issued in GA
Practice address
Landstuhl Regional Medical Center
Unit 33100
Apo, AE 09180-3100
Phone
(314) 590-8449
NPI assigned
Aug 31, 2006
Last updated
Sep 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 4301-064678 MI
Adult Medicine Physician 207QA0505X 63977 GA Primary

Addresses

Primary practice location

Landstuhl Regional Medical Center
Unit 33100
Apo, AE 09180-3100

Mailing address

Landstuhl Regional Medical Center
Unit 33100
Apo, AE 09180-3100
Phone (314) 590-8449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110321000889 FL Practitioner - Family Practice 8123913464 Reassigns benefits to 2 organizations
Practice locations: Jacksonville, FL

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Boston University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Florida Jacksonville Physicians, Inc.Group PAC ID 9133025869, shared by 5 NPIs, 908 clinicians

Practice addresses (Care Compare)

11043 Crystal SPG Rd
Suite 14
Jacksonville, FL 32221-4107
Phone (904) 427-8550

409 Kings Rd S
Callahan, FL 32011-4128
Phone (904) 549-3593

653 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-7874

655 W 8TH St
Jacksonville, FL 32209-6511

76011 William Burgess Rd
Yulee, FL 32097-5428
Phone (904) 427-8590

802 S 6TH St
Macclenny, FL 32063-9608
Phone (904) 383-1777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as apm
Quality
59.93
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301-064678MIMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Jun 26, 2024 Accepting new patients
University of Florida Jacksonville Physicians Inc Adult Medicine Current Accepting new patients
University of Florida Jacksonville Physicians, Inc. Adult Medicine CurrentSince Jun 26, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jun 26, 2024 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Past Accepting new patients
Helen Lee, MD PC Past Accepting new patients
Farmington Hills Medical Center, PC Past Accepting new patients

Locations

1255 Lila St
Jacksonville, FL 32208
Phone (904) 244-5700

1833 Boulevard
Jacksonville, FL 32206
Phone (904) 244-3289

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

Interoperability endpoints

  • Direct secure messaging: gweltman720899@direct.shands.ufl.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1548372006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "LANDSTUHL REGIONAL MEDICAL CENTER",
            "address_2": "UNIT 33100",
            "city": "APO",
            "state": "AE",
            "postal_code": "091803100",
            "telephone_number": "314-590-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "LANDSTUHL REGIONAL MEDICAL CENTER",
            "address_2": "UNIT 33100",
            "city": "APO",
            "state": "AE",
            "postal_code": "091803100",
            "telephone_number": "314-590-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELTMAN",
        "first_name": "GARY",
        "middle_name": "RIES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MI",
            "license": "4301-064678",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": "63977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.