Active NPI
Theresa Suzanne Weber, MD
- Neurology Physician
- Fredericksburg, TX
National Provider Identifier
1720048499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- J8714
- Practice address
- 205 W Windcrest St Ste 310
Fredericksburg, TX 78624-4478 - Phone
- (830) 997-2191
- Fax
- (830) 997-8202
- NPI assigned
- Mar 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | J8714 | TX | Primary |
Addresses
Primary practice location
205 W Windcrest St Ste 310
Fredericksburg, TX 78624-4478
Mailing address
205 W Windcrest St Ste 310
Fredericksburg, TX 78624-4478
Phone (830) 997-2191
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8AJ320 | Other | TX | BCBS |
| 113481904 | Medicaid | TX |
Other names 1
- Theresa Suzanne Phillips
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Texas Medical School at San Antonio, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
575 Hill Country Dr
Suite 101
Kerrville, TX 78028-6024
Phone (830) 258-7090
Hospital & facility affiliations
- Peterson Regional Medical Center
- Hill Country Memorial Hospital
- Ut Health San Antonio Multispecialty & Research Ho
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.72 of 100
- Quality
- 84.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.44 of 100
- Quality
- 74.08
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J8714 | TX | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peterson Medical Associates | Current | Accepting new patients | |
| R. Braden Neiman, MD PA | Neurology | Past | Accepting new patients |
Locations
575 Hill Country Dr
Ste 101
Kerrville, TX 78028
Phone (830) 258-7090
575 Hill Country Dr
Ste 202
Kerrville, TX 78028
Phone (830) 258-6237
Interoperability endpoints
- theresa.weber.1@21041.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Kerrville, TX
- NPI 1770800575
-
- Neurology Physician
- San Antonio, TX
- NPI 1043412455
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fredericksburg, TX
- NPI 1376256354
-
- Rural Acute Care Hospital
- Kerrville, TX
- NPI 1790782704
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1720048499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 W WINDCREST ST STE 310",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786244478",
"telephone_number": "830-997-2191",
"fax_number": "830-997-8202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 W WINDCREST ST STE 310",
"city": "FREDERICKSBURG",
"state": "TX",
"postal_code": "786244478",
"telephone_number": "830-997-2191",
"fax_number": "830-997-8202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "THERESA",
"middle_name": "SUZANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-25",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "J8714",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8AJ320",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113481904",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "THERESA",
"last_name": "PHILLIPS",
"middle_name": "SUZANNE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fredericksburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.