Active NPI
Wayne S. Weidenbaum, MD
- Interventional Pain Medicine Physician
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- ME60443
- Practice address
- 1500 N Dixie Hwy Ste 103
West Palm Beach, FL 33401-2715 - Phone
- (561) 833-8093
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ME60443 | FL | |
| Anesthesiology Physician | 207L00000X | ME60443 | FL | |
| Interventional Pain Medicine Physician | 208VP0014X | ME60443 | FL | Primary |
Addresses
Primary practice location
1500 N Dixie Hwy Ste 103
West Palm Beach, FL 33401-2715
Mailing address
PO Box 817737
Hollywood, FL 33081-1737
Phone (954) 838-2371
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060509000463 | FL | Practitioner - Pain Management | 8022029784 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- State University of Ny Upstate Medical University, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mobile Anesthesia Associates LLC
Practice addresses (Care Compare)
1500 N Dixie Hwy
Suite 103
West Palm Beach, FL 33401-2715
Phone (772) 223-2115
Hospital & facility affiliations
- Jupiter Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.05 of 100
- Quality
- 85.16
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Surgery and Endoscopy Centers LLC | Current | Accepting new patients | |
| Mobile Anesthesia Associates LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Associates of the Palm Beaches PA | Anesthesiology | Past | Accepting new patients |
Locations
3995 NW Goldenrod Rd
Jensen Beach, FL 34957
Phone (772) 497-0020
208 NE 19th Dr
Okeechobee, FL 34972
Phone (863) 763-6431
4510 Donald Ross Rd
Palm Beach Gardens, FL 33418
Phone (910) 691-1853
900 Village Square Xing
Ste 100
Palm Beach Gardens, FL 33410
Phone (561) 346-7698
10244 S US Highway 1
Port St Lucie, FL 34952
Phone (954) 223-5483
9075 S US Highway 1
Port St Lucie, FL 34952
Phone (772) 393-9898
2300 SE Veterans Memorial Pkwy
Port St Lucie, FL 34952
1111 SE Federal Hwy
Ste 228
Stuart, FL 34994
Phone (772) 221-7966
111 SE Osceola St
Ste 100
Stuart, FL 34994
Phone (866) 228-7676
111 SE Osceola St
#200
Stuart, FL 34994
Phone (772) 242-7720
3602 Kyoto Gardens Dr
West Palm Beach, FL 33410
Phone (561) 799-2288
1500 N Dixie Hwy
Ste 103
West Palm Beach, FL 33401
Phone (561) 833-8893
325 Avenue B NW
Winter Haven, FL 33881
Phone (800) 364-9216
Interoperability endpoints
- wayne.weidenbaum.1@30104.direct.athenahealth.com
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.
-
- Pain Medicine (Anesthesiology) Physician
- Stuart, FL
- NPI 1295776243
Anesthesiology, FL
-
- Ambulatory Surgical Clinic/Center
- West Palm Beach, FL
- NPI 1407227358
-
- Certified Registered Nurse Anesthetist
- West Palm Beach, FL
- NPI 1366408122
Anesthesiology
Hospital & facility affiliations 1
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": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551657600000",
"number": "1619945367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 817737",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330811737",
"telephone_number": "954-838-2371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N DIXIE HWY STE 103",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334012715",
"telephone_number": "561-833-8093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIDENBAUM",
"first_name": "WAYNE",
"middle_name": "S.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2019-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": "ME60443",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME60443",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "FL",
"license": "ME60443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.