Stefan C. Weiss, MD

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

2017-01169 Issued in NC

Practice address

100 Timberhill PL Unit 110
Chapel Hill, NC 27514-1962

Phone

(919) 710-8100

Fax

(919) 747-3999

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Dermatology

Education

Duke University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trillium ClinicGroup PAC ID 5890152169, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: sweiss@directaddress.net

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.

• Trillium Clinic

  • Dermatology Physician
  • Chapel Hill, NC
  • NPI 1093419566
  Medicare reassignment Care Compare group NPD Authorized official
• Blue Ridge Dermatology Associates

  • Dermatology Physician
  • Raleigh, NC
  • NPI 1770545550
  Medicare reassignment NPD
• Alamance Internal and Nuclear Medicine

  • Endocrinology, Diabetes & Metabolism Physician
  • Burlington, NC
  • NPI 1538401161
  NPD (past)
• Direct Dermatology Professionals PC

  • Dermatology Physician
  • Manteca, CA
  • NPI 1417263922
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1578641387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2288",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275152288",
            "telephone_number": "919-710-8100",
            "fax_number": "919-747-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TIMBERHILL PL UNIT 110",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141962",
            "telephone_number": "919-710-8100",
            "fax_number": "919-747-3999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 McHenry Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "95350",
            "country_code": "US",
            "telephone_number": "855-944-7546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISS",
        "first_name": "STEFAN",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A80115",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME91819",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2017-01169",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NC",
            "license": "2017-01169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel S Weir, MD
• Leigh Anne Hogan Weisenfeld, LCSW
• James R Weiss, M.D.
• Jared M Weiss, M.D.
• Jasmine Weiss
• Mark C Weissler, MD
• Sam Weissler, LCMHC
• Devon Lynn Weist, AU.D.
• Brandon Lee Speaks Welborn, DO
• Emma Margaret Welch, MD

• Procedural Dermatology Physician in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Procedural Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.

Verify at the official NPI Registry.