Individual provider Active NPI

Katrina Lee Weaver, M.D.

  • Surgery Physician
  • Roanoke, VA
National Provider Identifier
1689804759
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101278072 Issued in VA
Practice address
4348 Electric Rd
Roanoke, VA 24018-0720
Phone
(540) 769-0976
Fax
(540) 857-5383
NPI assigned
Jul 22, 2009
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X MED-PHYS-LIC-123987 MT
Surgical Critical Care PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0102X 2015020981 MO
Pediatric Surgery Physician 2086S0120X 96786 SC
Pediatric Surgery Physician 2086S0120X MD.32264 AL
Surgery Physician 208600000X 0101278072 VA Primary
Surgery Physician 208600000X MD.32264 AL

Addresses

Primary practice location

4348 Electric Rd
Roanoke, VA 24018-0720

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5352

Other practice location 1

9 Richland Medical Park Dr Ste 500
Columbia, SC 29203-6870
Phone (803) 434-4555

Other practice location 2

1601 Center St
Mobile, AL 36604-1541
Phone (251) 415-1475

Other practice location 3

202 Conway Dr Ste 200
Kalispell, MT 59901-3153
Phone (406) 758-7490

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Kalispell Regional Medical Center Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MT2 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
I20180523003028 AL Practitioner - General SurgeryPractitioner - Critical Care (Intensivists)Practitioner - Other (Physician) 5698912277 Reassigns benefits to 2 organizations
I20230414000853 MT Practitioner - Pediatric Medicine 5698912277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Utah School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

202 Conway Dr
Suite 100
Kalispell, MT 59901-3153
Phone (406) 751-5662

310 Sunnyview LN
Kalispell, MT 59901-3129
Phone (406) 751-6725

320 Sunnyview LN
Kalispell, MT 59901-3129
Phone (406) 756-3526

350 Heritage Way
Kalispell, MT 59901-3167

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.32264ALMDSurgery Physician
2015020981MOMDSurgical Critical Care Physician
MED-PHYS-LIC-123987MTMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama Multi-Specialty Current Accepting new patients
University of South Alabama Multi-Specialty CurrentSince Oct 28, 2017 Accepting new patients
USA Health Physician Billing Services LLC Multi-Specialty CurrentSince Oct 1, 2019 Accepting new patients
Kalispell Regional Medical Center, Inc CurrentSince May 19, 2023 Accepting new patients
USA Health Physician Billing Services LLC Multi-Specialty CurrentSince Oct 1, 2019 Accepting new patients
Kalispell Regional Medical Center Inc Multi-Specialty Current Accepting new patients
Kalispell Regional Medical Center, Inc CurrentSince May 19, 2023 Accepting new patients
Kalispell Regional Medical Center Inc Multi-Specialty Past Accepting new patients
Kalispell Regional Medical Center, Inc Multi-Specialty Past Accepting new patients

Locations

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405

1601 Center St
Mobile, AL 36604
Phone (251) 410-5437

350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992

310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310

202 Conway Dr
Ste 200
Kalispell, MT 59901
Phone (406) 752-8433

Interoperability endpoints

  • Direct secure messaging: krmcmedicalrecords@krhdirect.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1689804759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4348 ELECTRIC RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180720",
            "telephone_number": "540-769-0976",
            "fax_number": "540-857-5383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Richland Medical Park Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036870",
            "country_code": "US",
            "telephone_number": "803-434-4555",
            "fax_number": "803-434-4599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 Center St",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366041541",
            "country_code": "US",
            "telephone_number": "251-415-1475",
            "fax_number": "251-415-1476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Conway Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013153",
            "country_code": "US",
            "telephone_number": "406-758-7490",
            "fax_number": "406-758-7080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "KATRINA",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "MT",
            "license": "MED-PHYS-LIC-123987",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MO",
            "license": "2015020981",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "SC",
            "license": "96786",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "AL",
            "license": "MD.32264",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101278072",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "MD.32264",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center Inc",
            "address_1": "202 Conway Dr Ste 200",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.