NPIMap

Individual provider Active NPI

Kimberly Nicole Weaver, M.D.

  • Gastroenterology Physician
  • Pittsburgh, PA
National Provider Identifier
1790104925
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD480219 Issued in PA
Practice address
1307 Federal St Ste B100
Pittsburgh, PA 15212-4761
Phone
(412) 359-8900
Fax
(412) 359-8977
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2017-00529 NC
Gastroenterology Physician 207RG0100X MD480219 PA Primary

Addresses

Primary practice location

1307 Federal St Ste B100
Pittsburgh, PA 15212-4761

Mailing address

1307 Federal St Ste B100
Pittsburgh, PA 15212-4761
Phone (412) 359-8900

Other practice location 1

University Of North Carolina 126 Macnider Hl
CB #7005
Chapel Hill, NC 27599-0001
Phone (919) 966-1216

Other practice location 2

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-7080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230622000146 PA Practitioner - Gastroenterology 2163645508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
JC Edwards School of Medicine, Marshall University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

1307 Federal St
Suite B100
Pittsburgh, PA 15212-4761
Phone (412) 359-8900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy45
Upper gastrointestinal (GI) endoscopy for acid reflux43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD480219PAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jul 1, 2023 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic Gastroenterology CurrentSince Jul 1, 2023 Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

1307 Federal St
Ste B100
Pittsburgh, PA 15212
Phone (412) 359-4667

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

1307 Federal St
Ste 301
Pittsburgh, PA 15212
Phone (412) 359-3751

500 Blazier Dr
Ste 200
Wexford, PA 15090
Phone (412) 359-3319

Interoperability endpoints

  • Direct secure messaging: kweaver721145@direct.ahn.org

Organizations & group practices 4

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 10

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1790104925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL ST STE B100",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124761",
            "telephone_number": "412-359-8900",
            "fax_number": "412-359-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL ST STE B100",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124761",
            "telephone_number": "412-359-8900",
            "fax_number": "412-359-8977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "University Of North Carolina 126 Macnider Hl",
            "address_2": "CB #7005",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275990001",
            "country_code": "US",
            "telephone_number": "919-966-1216",
            "fax_number": "919-843-2356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 Silas Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271033013",
            "country_code": "US",
            "telephone_number": "336-718-7080",
            "fax_number": "336-718-9622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "KIMBERLY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2017-00529",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD480219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.