Individual provider Active NPI

Rebecca Ilene Weiss, D.O.

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1609975184
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4424 Issued in AZ
Practice address
2060 W. Whispering Wind Drive
Suite 173
Phoenix, AZ 85085
Phone
(623) 565-5060
Fax
(623) 565-5061
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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 4424 AZ Primary

Addresses

Primary practice location

2060 W. Whispering Wind Drive
Suite 173
Phoenix, AZ 85085

Mailing address

2060 W. Whispering Wind Drive
Suite 173
Phoenix, AZ 85085
Phone (623) 565-5060

Other names 1

  • Rebecca Weiss Glasow Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20091013000095 AZ Practitioner - Family Practice 8022915784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norterra Family Medicine, PLLCGroup PAC ID 7315004470, 2 clinicians

Practice addresses (Care Compare)

2060 W Whispering Wind Dr
Suite 173
Phoenix, AZ 85085-2869
Phone 62356550601

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4424AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norterra Family Medicine, PLLC Family Medicine CurrentSince Feb 1, 2009 Accepting new patients
Alliance Urgent Care PLLC PastSince Sep 30, 2007 Accepting new patients
Arizona Heart Specialists PLLC Past Accepting new patients

Locations

2060 W Whispering Wind Dr
Ste 173
Phoenix, AZ 85085
Phone (623) 565-5060

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1609975184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 W. WHISPERING WIND DRIVE",
            "address_2": "SUITE 173",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85085",
            "telephone_number": "623-565-5060",
            "fax_number": "623-565-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 W. WHISPERING WIND DRIVE",
            "address_2": "SUITE 173",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85085",
            "telephone_number": "623-565-5060",
            "fax_number": "623-565-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "REBECCA",
        "middle_name": "ILENE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "4424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "GLASOW",
            "middle_name": "WEISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.