Individual provider Active NPI

Weafue Ahmed Saab, M.D.

  • Emergency Medicine Physician
  • Janesville, WI
National Provider Identifier
1780941690
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
275720 Issued in NY
Practice address
1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone
(608) 756-6000
NPI assigned
Apr 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD22196 ME
Emergency Medicine Physician 207P00000X 66124 WI
Emergency Medicine Physician 207P00000X 25MA11836000 NJ
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 275720 NY Primary

Addresses

Primary practice location

1000 Mineral Point Ave
Janesville, WI 53548-2940

Mailing address

836 Bergen St
PH3
New York, NY 10029-7404
Phone (908) 403-8981

Other practice location 1

91 Campus Ave
Lewiston, ME 04240-6030
Phone (207) 777-8120

Other practice location 2

800 Riverside Dr
Waupaca, WI 54981-1943
Phone (715) 258-1000

Other practice location 3

750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6063

Other practice location 4

1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WI, ME, IN, NM, NJ6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20140905001431 NY Practitioner - Emergency Medicine 5698993525 Reassigns benefits to 1 organization
I20160930001692 WI Practitioner - Emergency Medicine 5698993525 Reassigns benefits to 3 organizations
I20180524000643 ME Practitioner - Emergency Medicine 5698993525 Reassigns benefits to 1 organization
I20190813000726 IN Practitioner - Emergency Medicine 5698993525 Reassigns benefits to 3 organizations
I20200130001731 NM Practitioner - Emergency Medicine 5698993525 Reassigns benefits to 1 organization
I20230815004107 NJ Practitioner - Emergency Medicine 5698993525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Howard University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Emergency Physicians PCGroup PAC ID 2769384213, 79 clinicians
Marion General HospitalGroup PAC ID 9133023625, 115 clinicians

Practice addresses (Care Compare)

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 266-1000

441 N Wabash Ave
Marion, IN 46952-2612
Phone (765) 660-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11836000NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marion General Hospital Current Accepting new patients
Thedacare Medical Center - Waupaca, Inc. CurrentSince Mar 31, 2021 Accepting new patients
Presbyterian Healthcare Services Emergency Medicine CurrentSince Jan 15, 2020 Accepting new patients
Richard S Veiga MD SC Current Accepting new patients
St. Mary'S Regional Medical Center CurrentSince Oct 12, 2021 Accepting new patients
Harlem Medical Associates PC CurrentSince Aug 14, 2014 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. Emergency Medicine CurrentSince Mar 31, 2021 Accepting new patients
Marion General Hospital CurrentSince Jun 8, 2019 Accepting new patients
Professional Emergency Physicians PC Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Thedacare Medical Center - New London, Inc CurrentSince Aug 31, 2021 Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC Emergency Medicine CurrentSince Dec 1, 2021 Accepting new patients
Mercy Health System Corporation Current Accepting new patients
Capital Health Multispecialty Group Emergency Medicine CurrentSince Aug 28, 2023 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jan 15, 2020 Accepting new patients
Mercy Health System Corporation CurrentSince Aug 28, 2016 Accepting new patients
Mercy Health System Corporation CurrentSince Aug 28, 2016 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Dec 1, 2021 Accepting new patients
Thedacare Medical Center - New London, Inc. CurrentSince Aug 31, 2021 Accepting new patients
Marion General Hospital Emergency Medicine CurrentSince Jun 8, 2019 Accepting new patients

Locations (25 of 27)

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252

11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020

2200 Randallia Dr
Fort Wayne, IN 46805
Phone (260) 373-4000

4781 Kaybee Dr
Gas City, IN 46933
Phone (765) 660-7840

911 Marion Health Dr
Gas City, IN 46933
Phone (765) 660-7000

2001 Stults Rd
Huntington, IN 46750
Phone (219) 355-3000

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

401 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 347-1100

330 N Wabash Ave
Ste G-20
Marion, IN 46952
Phone (765) 660-7600

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

10 John Kissinger Dr
Wabash, IN 46992
Phone (260) 424-2195

1355 Mariners Dr
Warsaw, IN 46582
Phone (574) 267-6778

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

93 Campus Ave
#I2
Lewiston, ME 04240
Phone (207) 777-4420

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

6400 Paseo del Norte NE
Albuquerque, NM 87113
Phone (505) 596-2100

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

45 Research Way
Ste 206
Setauket, NY 11733
Phone (631) 575-9300

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 9

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": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1780941690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 BERGEN ST",
            "address_2": "PH3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100297404",
            "telephone_number": "908-403-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MINERAL POINT AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535482940",
            "telephone_number": "608-756-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "91 Campus Ave",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042406030",
            "country_code": "US",
            "telephone_number": "207-777-8120",
            "fax_number": "207-777-8984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Riverside Dr",
            "address_purpose": "LOCATION",
            "city": "Waupaca",
            "state": "WI",
            "postal_code": "549811943",
            "country_code": "US",
            "telephone_number": "715-258-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Brunswick Ave",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086384143",
            "country_code": "US",
            "telephone_number": "609-394-6063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Capital Way",
            "address_purpose": "LOCATION",
            "city": "Pennington",
            "state": "NJ",
            "postal_code": "085342520",
            "country_code": "US",
            "telephone_number": "609-303-4010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAAB",
        "first_name": "WEAFUE",
        "middle_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-16",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "MD22196",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "66124",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA11836000",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "275720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

Verify at the official NPI Registry.