Active NPI
David Weill, MD
- Pulmonary Disease Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- ME130463
- Practice address
- 12901 Bruce B Downs Blvd
MDC Box 62
Tampa, FL 33612-4742 - Phone
- (813) 974-0483
- NPI assigned
- Feb 24, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | C52127 | CA | |
| Pulmonary Disease Physician | 207RP1001X | ME130463 | FL | Primary |
| Transplant Surgery Physician | 204F00000X | 304283 | LA | |
| Pulmonary Disease Physician | 207RP1001X | 304283 | LA |
Addresses
Primary practice location
12901 Bruce B Downs Blvd
MDC Box 62
Tampa, FL 33612-4742
Mailing address
PO Box 611484
Rosemary Beach, FL 32461-1004
Phone (650) 862-3432
Other practice location 1
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3925
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020028900 | Medicaid | FL | |
| 00C521270 | Medicaid | CA | |
| QSBYQ | Other | FL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, LA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304283 | LA | MD | Transplant Surgery Physician |
| C52127 | CA | MD | Pulmonary Disease Physician |
| ME130463 | FL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Service Association Inc | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients |
Locations
12901 Bruce B Downs Blvd
#62
Tampa, FL 33612
4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331
3500 E Fletcher Ave
Ste 100
Tampa, FL 33613
Phone (813) 282-8520
1514 Jefferson Hwy
New Orleans, LA 70121
Organizations & group practices 6
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.
-
- Physical Therapist
- Tampa, FL
- NPI 1992742324
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1194276576
-
- General Practice Physician
- Tampa, FL
- NPI 1326088295
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- General Practice Physician
- Belle Chasse, LA
- NPI 1881913648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549497600000",
"number": "1629104807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 611484",
"city": "ROSEMARY BEACH",
"state": "FL",
"postal_code": "324611004",
"telephone_number": "650-862-3432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12901 BRUCE B DOWNS BLVD",
"address_2": "MDC BOX 62",
"city": "TAMPA",
"state": "FL",
"postal_code": "336124742",
"telephone_number": "813-974-0483"
}
],
"practiceLocations": [
{
"address_1": "1514 Jefferson Hwy",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701212429",
"country_code": "US",
"telephone_number": "504-842-3925",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEILL",
"first_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-24",
"last_updated": "2019-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "C52127",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "FL",
"license": "ME130463",
"primary": true
},
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "LA",
"license": "304283",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "LA",
"license": "304283",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020028900",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C521270",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "QSBYQ",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.