Individual provider Active NPI

H Keith Weiss, DO

  • Family Medicine Physician
  • Christiana, PA
National Provider Identifier
1568420669
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS002802L Issued in PA
Practice address
381 RT 41
Christiana, PA 17509
Phone
(610) 593-5125
Fax
(610) 593-2723
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS002802L PA Primary

Addresses

Primary practice location

381 RT 41
Christiana, PA 17509

Mailing address

PO Box 70
381 RT 41
Christiana, PA 17509
Phone (610) 593-5125

Other identifiers 2

IdentifierTypeStateIssuer
010034423OtherPARAILROAD MEDICARE PTAN
000683759MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100921001347 PA Practitioner - Family Practice 8224154729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Umair Moiz Malik MD PCGroup PAC ID 3678750411, 2 clinicians

Practice addresses (Care Compare)

3149 Lincoln Hwy
Suite C
Thorndale, PA 19372-1129
Phone (610) 384-4100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Umair Moiz Malik MD PC CurrentSince Dec 22, 2019 Accepting new patients
Umair Moiz Malik MD PC CurrentSince Dec 22, 2019 Accepting new patients
Coatesville Hospital Corporation Past Accepting new patients

Locations

3149 Lincoln Hwy
Thorndale, PA 19372
Phone (610) 383-1100

3149 Lincoln Hwy
Ste C
Thorndale, PA 19372
Phone (610) 384-4100

201 Reeceville Rd
West Brandywine, PA 19320
Phone (215) 788-2285

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBDBDA/Endpoint/FBDBDA

Organizations & group practices 4

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1568420669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "address_2": "381 RT 41",
            "city": "CHRISTIANA",
            "state": "PA",
            "postal_code": "17509",
            "telephone_number": "610-593-5125",
            "fax_number": "610-593-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 RT 41",
            "city": "CHRISTIANA",
            "state": "PA",
            "postal_code": "17509",
            "telephone_number": "610-593-5125",
            "fax_number": "610-593-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "H",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS002802L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "010034423",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000683759",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiana, PA

Sources for this page

Verify at the official NPI Registry.