Individual provider Active NPI

Wayne S. Weidenbaum, MD

  • Interventional Pain Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1619945367
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
ME60443 Issued in FL
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

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060509000463 FL Practitioner - Pain ManagementPractitioner - Anesthesiology 8022029784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
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 47 clinicians

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 Hospital, Jupiter, FL, CCN 100253

Merit-based Incentive Payment System (MIPS)

Final score
94.05 of 100Reported as individual
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

OrganizationSpecialtyStatusNew patients
Baptist Surgery and Endoscopy Centers LLC CurrentSince Dec 16, 2023 Accepting new patients
Mobile Anesthesia Associates LLC Anesthesiology CurrentSince Dec 16, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.