Individual provider Active NPI

Robert M Weinberg, MD

  • Anesthesiology Physician
  • Johns Creek, GA
National Provider Identifier
1770589582
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
59939 Issued in GA
Practice address
6335 Hospital Pkwy
Suite 111
Johns Creek, GA 30097-1549
Phone
(404) 778-8311
Fax
(770) 495-1585
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 174859-1 NY
Anesthesiology Physician 207L00000X 59939 GA Primary

Addresses

Primary practice location

6335 Hospital Pkwy
Suite 111
Johns Creek, GA 30097-1549

Mailing address

6335 Hospital Pkwy
Suite 111
Johns Creek, GA 30097-1549
Phone (404) 778-8311

Other identifiers 1

IdentifierTypeStateIssuer
01355182MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE) Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070927000341 GA Practitioner - Anesthesiology 1254426851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emory Specialty Associates, LLCGroup PAC ID 3476559782, 706 clinicians

Practice addresses (Care Compare)

1821 Clifton Rd NE
Atlanta, GA 30329-4021
Phone (404) 728-6812

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59939GAMDAnesthesiology Physician
174859-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Specialty Associates, LLC Anesthesiology CurrentSince Oct 1, 2009 Accepting new patients
The Emory Clinic Inc CurrentSince Jul 1, 2010 Accepting new patients
Emory Specialty Associates-Anesthesia Past Accepting new patients
Newnan Anesthesia Associates, LLC Anesthesiology Past Accepting new patients
Lenox Hill Medical Anesthesiology, PLLC Past Accepting new patients
The Emory Clinic Pediatric Providers Past Accepting new patients
Cobb Anesthesia, PC Anesthesiology Past Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

101 W Ponce de Leon Ave
Ste 300
Decatur, GA 30030
Phone (404) 778-4889

8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584

6335 Hospital Pkwy
Ste 111
Johns Creek, GA 30097
Phone (404) 778-8311

Interoperability endpoints

  • Direct secure messaging: rweinberg19608@direct.emory.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1770589582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6335 HOSPITAL PKWY",
            "address_2": "SUITE 111",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971549",
            "telephone_number": "404-778-8311",
            "fax_number": "770-495-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6335 HOSPITAL PKWY",
            "address_2": "SUITE 111",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971549",
            "telephone_number": "404-778-8311",
            "fax_number": "770-495-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "ROBERT",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "174859-1",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "59939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01355182",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "Building A",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303221013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

Verify at the official NPI Registry.