Individual provider Active NPI

Joshua L. Weiss, MD

  • Maternal & Fetal Medicine Physician
  • Dallas, TX
National Provider Identifier
1790765931
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
K4833 Issued in TX
Practice address
12201 Merit Dr Ste 325
Dallas, TX 75251-3140
Phone
(972) 619-1800
Fax
(972) 619-1808
NPI assigned
Jan 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X K4833 TX Primary

Addresses

Primary practice location

12201 Merit Dr Ste 325
Dallas, TX 75251-3140

Mailing address

12201 Merit Dr Ste 325
Dallas, TX 75251-3140
Phone (972) 619-1800

Other identifiers 8

IdentifierTypeStateIssuer
158029211MedicaidTX
158029203MedicaidTX
158029201MedicaidTX
158029206MedicaidTX
158029212MedicaidTX
158029208MedicaidTX
158029205MedicaidTX
158029210MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K4833TXMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua L. Weiss, MD, Associated Maternal & Fetal Medicine CurrentSince Jul 1, 2006 Accepting new patients
Stella Mattina Health Inc PastSince Nov 6, 2022 Accepting new patients
North Texas Perinatal Associates, PA Maternal & Fetal Medicine Past Accepting new patients

Locations

12201 Merit Dr
Ste 325
Dallas, TX 75251
Phone (972) 619-1800

7777 Forest Ln
Ste C514
Dallas, TX 75230
Phone (972) 566-8484

Interoperability endpoints

  • Direct secure messaging: jweiss84048@dm.mhd.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1790765931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 MERIT DR STE 325",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513140",
            "telephone_number": "972-619-1800",
            "fax_number": "972-619-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 MERIT DR STE 325",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513140",
            "telephone_number": "972-619-1800",
            "fax_number": "972-619-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "JOSHUA",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-21",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "K4833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158029211",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158029203",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158029201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158029206",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158029212",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158029208",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158029205",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158029210",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.