Individual provider Active NPI

David J Weber, M.D.

  • Family Medicine Physician
  • Memphis, TN
National Provider Identifier
1629143953
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21064 Issued in TN
Practice address
407 Stonewall St
Memphis, TN 38112-5115
Phone
(901) 278-6963
Fax
(901) 274-5224
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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 21064 TN Primary

Addresses

Primary practice location

407 Stonewall St
Memphis, TN 38112-5115

Mailing address

407 Stonewall St
Memphis, TN 38112-5115
Phone (901) 278-6963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040317001544 TN Practitioner - Family Practice 6204725690 Reassigns benefits to 2 organizations
I20250422001293 MS Practitioner - Family Practice 6204725690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
JS Weill Medical College, Cornell University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indianola Clinic LLCGroup PAC ID 4688585805, 5 clinicians
David J. Weber, P.C.Group PAC ID 4486616695, 2 clinicians

Practice addresses (Care Compare)

201 Baker Blvd
Leland, MS 38756-3401
Phone (662) 686-4121

345 Adams Ave
Memphis, TN 38103-1913
Phone (901) 766-0600

407 Stonewall St
Memphis, TN 38112-5115
Phone 90127869631

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.28 of 100Reported as group
Quality
100
Improvement activities
40
Cost
50.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21064TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indianola Clinic, LLC CurrentSince Apr 28, 2025 Accepting new patients
David J. Weber, P.C. Family Medicine CurrentSince Aug 1, 2009 Accepting new patients
Meritan, Inc CurrentSince Mar 12, 2024 Accepting new patients

Locations

201 Baker Blvd
Leland, MS 38756
Phone (662) 686-4121

345 Adams Ave
Memphis, TN 38103
Phone (901) 766-0600

Interoperability endpoints

  • Direct secure messaging: dweber25522@mlh.direct-ci.com
  • Direct secure messaging: david.weber@dha.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1629143953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 STONEWALL ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381125115",
            "telephone_number": "901-278-6963",
            "fax_number": "901-274-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 STONEWALL ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381125115",
            "telephone_number": "901-278-6963",
            "fax_number": "901-274-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "21064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.