Active NPI
Zachary Weiss, MD
- Emergency Medicine Physician
- Farmington, NM
National Provider Identifier
1720183734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD2005-0852
- Practice address
- 801 W Maple St
Farmington, NM 87401-5630 - Phone
- (505) 609-2000
- Fax
- (505) 609-2259
- NPI assigned
- Sep 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD2005-0852 | NM | Primary |
Addresses
Primary practice location
801 W Maple St
Farmington, NM 87401-5630
Mailing address
PO Box 6210
Farmington, NM 87499-6210
Phone (505) 609-2258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36370339 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060922000110 | NM | Practitioner - Emergency Medicine | 9931104171 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.97 of 100
- Quality
- 79.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2005-0852 | NM | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan Regional Medical Center Inc | Emergency Medicine | Current | Accepting new patients |
| San Juan Regional Medical Center Inc | Current | Accepting new patients | |
| San Juan Regional Medical Center Inc | Current | Accepting new patients |
Locations
801 W Maple St
Farmington, NM 87401
Phone (505) 325-5011
407 S Schwartz Ave
Ste 202
Farmington, NM 87401
Phone (505) 609-6595
4820 E Main St
Ste 2
Farmington, NM 87402
Phone (505) 609-6610
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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Farmington, NM
- NPI 1518932151
Emergency Medicine
-
- Family Medicine Physician
- Farmington, NM
- NPI 1710589015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391040000000",
"number": "1720183734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6210",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874996210",
"telephone_number": "505-609-2258",
"fax_number": "505-609-2259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W MAPLE ST",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874015630",
"telephone_number": "505-609-2000",
"fax_number": "505-609-2259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "ZACHARY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2014-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NM",
"license": "MD2005-0852",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "36370339",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.