Active NPI
Katrina Lee Weaver, M.D.
- Surgery Physician
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0101278072
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | MED-PHYS-LIC-123987 | MT | |
| Surgical Critical Care Physician | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | krmcmedicalrecords@krhdirect.org | Kalispell Regional Medical Center Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD.32264 | AL | MD | Surgery Physician |
| 2015020981 | MO | MD | Surgical Critical Care Physician |
| MED-PHYS-LIC-123987 | MT | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of South Alabama | Multi-Specialty | Current | Accepting new patients |
| University of South Alabama | Multi-Specialty | Current | Accepting new patients |
| USA Health Physician Billing Services LLC | Multi-Specialty | Current | Accepting new patients |
| Kalispell Regional Medical Center, Inc | Current | Accepting new patients | |
| USA Health Physician Billing Services LLC | Multi-Specialty | Current | Accepting new patients |
| Kalispell Regional Medical Center Inc | Multi-Specialty | Current | Accepting new patients |
| Kalispell Regional Medical Center, Inc | Current | 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
- 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.
-
dba Logan Health Medical Center
- General Acute Care Hospital
- Kalispell, MT
- NPI 1417945627
Multi-Specialty
-
dba USA Student Health Center
- Family Medicine Physician
- Mobile, AL
- NPI 1992746838
Multi-Specialty
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1720645468
Multi-Specialty
-
dba Logan Health Breast Center
- Clinic/Center
- Kalispell, MT
- NPI 1235333139
Multi-Specialty
-
dba Logan Health Imaging- 1111 Baker
- Radiology Clinic/Center
- Whitefish, MT
- NPI 1073362463
-
dba Logan Health Primary Care
- Clinic/Center
- Kalispell, MT
- NPI 1992395180
-
dba USA Health
- Internal Medicine Physician
- Mobile, AL
- NPI 1700241015
Multi-Specialty
-
dba USA Radiology
- Diagnostic Radiology Physician
- Mobile, AL
- NPI 1609434067
Multi-Specialty
-
dba Logan Health Surgical Clinic
- Surgery Physician
- Kalispell, MT
- NPI 1215527403
Multi-Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.