Individual provider Active NPI

Zak H Weis, DPM

  • Podiatrist
  • Boulder, CO
National Provider Identifier
1811903446
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
622 Issued in CO
Practice address
10 Benthaven PL
Boulder, CO 80305-6252
Phone
(806) 341-4508
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1658 TX
Podiatrist 213E00000X 622 CO Primary

Addresses

Primary practice location

10 Benthaven PL
Boulder, CO 80305-6252

Mailing address

10 Benthaven PL
Boulder, CO 80305-6252
Phone (806) 341-4508

Other identifiers 3

IdentifierTypeStateIssuer
96704233MedicaidCO
P01693987OtherCORAILROAD MEDICARE
165296803MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070724000685 CO Practitioner - Podiatry 0345239372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians
Rocky Vista Health Center LLCGroup PAC ID 1052443710, 18 clinicians

Practice addresses (Care Compare)

1667 Saint Paul St
Denver, CO 80206-1614
Phone (303) 399-2040

8401 S Chambers Rd
Englewood, CO 80112-3276
Phone (720) 875-2880

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue82
Removal of nail tissue1305
Removal or shaving of skin growth687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1658TXMDAddiction (Substance Use Disorder) Counselor
622COMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Podiatry Group PC Podiatrist CurrentSince Jul 19, 2016 Accepting new patients
Rocky Vista Health Center LLC CurrentSince Jan 7, 2020 Accepting new patients

Locations

1200 Village Rd
Carbondale, CO 81623
Phone (970) 963-1500

1667 Saint Paul St
Denver, CO 80206
Phone (303) 399-2040

2425 Teller Ave
Grand Junction, CO 81501
Phone (970) 210-7879

8401 S Chambers Rd
Greenwood Village, CO 80112
Phone (303) 373-2008

1330 Sidney Ave
Sterling, CO 80751
Phone (970) 522-4888

900 College Ave
Borger, TX 79007
Phone (806) 274-9600

2409 Holcombe Blvd
Houston, TX 77021
Phone (713) 741-8701

6600 9th Ave
Port Arthur, TX 77642
Phone (409) 962-5541

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8078/brand/1/csg/1/fhir/r4
  • Direct secure messaging: zak.weis.1@8078.direct.athenahealth.com

Organizations & group practices 2

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1811903446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BENTHAVEN PL",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803056252",
            "telephone_number": "806-341-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BENTHAVEN PL",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803056252",
            "telephone_number": "806-341-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIS",
        "first_name": "ZAK",
        "middle_name": "H",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1658",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CO",
            "license": "622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96704233",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01693987",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165296803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.