Active NPI
Zak H Weis, DPM
- Podiatrist
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 622
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96704233 | Medicaid | CO | |
| P01693987 | Other | CO | RAILROAD MEDICARE |
| 165296803 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 82 |
| Removal of nail tissue | 1305 |
| Removal or shaving of skin growth | 687 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1658 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 622 | CO | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Podiatry Group PC | Podiatrist | Current | Accepting new patients |
| Rocky Vista Health Center LLC | Current | 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
- https://api.platform.athenahealth.com/8078/brand/1/csg/1/fhir/r4
- 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.
-
- Family Medicine Physician
- Englewood, CO
- NPI 1366606709
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.