NPIMap

Individual provider Active NPI

Charles N Weber, MD

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1609197078
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
262519 Issued in MA
Practice address
75 Francis St
Abdominal Imaging and Intervention
Boston, MA 02115-6110
Phone
(617) 732-5500
NPI assigned
Jun 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 262519 MA Primary
Diagnostic Radiology Physician 2085R0202X 25MA09722200 NJ
Diagnostic Radiology Physician 2085R0202X MD451918 PA

Addresses

Primary practice location

75 Francis St
Abdominal Imaging and Intervention
Boston, MA 02115-6110

Mailing address

114 Marlborough St
Apt BF
Boston, MA 02116-1909
Phone (215) 272-2995

Other identifiers 1

IdentifierTypeStateIssuer
1609197078OtherMA1

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170623002490 HI Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 7719278035 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
State University of Ny Upstate Medical University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Radiology Group IncGroup PAC ID 7113817149, 31 clinicians

Practice addresses (Care Compare)

640 Ulukahiki St
Kailua, HI 96734-4454
Phone (808) 263-5500

98 -1079 Moanalua Rd
Aiea, HI 96701-4713
Phone (877) 709-9355

Hospital & facility affiliations

  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
  • Adventist Health Castle Hospital, Kailua, HI, CCN 120006
  • Kuakini Medical Center Hospital, Honolulu, HI, CCN 120007
  • Straub Clinic and Hospital Hospital, Honolulu, HI, CCN 120022
  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
262519MAMDDiagnostic Radiology Physician
25MA09722200NJMDDiagnostic Radiology Physician
MD451918PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Queens North Hawaii Community Hospital CurrentSince Jan 25, 2021 Accepting new patients
Queens North Hawaii Community Hospital CurrentSince Jan 25, 2021 Accepting new patients

Locations

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

Organizations & group practices 3

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 5

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": "1276905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1609197078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MARLBOROUGH ST",
            "address_2": "APT BF",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021161909",
            "telephone_number": "215-272-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "address_2": "ABDOMINAL IMAGING AND INTERVENTION",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-732-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "CHARLES",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-19",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "262519",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA09722200",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD451918",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1",
            "identifier": "1609197078",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.