Active NPI
Donald A Weller, M.D.
- Gastroenterology Physician
- Maysville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 34725
- Practice address
- 991 Medical Park Dr
Maysville, KY 41056-8764 - Phone
- (606) 759-5157
- Fax
- (606) 759-5582
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 34725 | KY | Primary |
Addresses
Primary practice location
991 Medical Park Dr
Maysville, KY 41056-8764
Mailing address
991 Medical Park Dr Ste 203
Maysville, KY 41056-8728
Phone (606) 759-5157
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64001709 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Boston University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
989 Medical Park Dr
Maysville, KY 41056-8750
Phone (606) 759-3585
991 Medical Dr
Suite 207
Maysville, KY 41056-8728
Phone (606) 759-4852
991 Medical Park Dr
Maysville, KY 41056-8728
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 145 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 86 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34725 | KY | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meadowview Physician Practice, LLC | Current | Accepting new patients | |
| Meadowview Physician Practice LLC | Current | Accepting new patients | |
| Meadowview Physician Practice LLC | Past | Accepting new patients |
Locations
991 Medical Park Dr
Ste 201
Maysville, KY 41056
Phone (606) 759-3585
991 Medical Park Dr
Ste 202
Maysville, KY 41056
Phone (606) 759-5424
991 Medical Park Dr
Ste 203
Maysville, KY 41056
Phone (606) 759-4869
Interoperability endpoints
- donald.weller.1@19475.direct.athenahealth.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.
-
- Otolaryngology Physician
- Maysville, KY
- NPI 1760893275
-
- Rural Health Clinic/Center
- Maysville, KY
- NPI 1952152530
-
- Hematology & Oncology Physician
- Maysville, KY
- NPI 1629329990
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Flemingsburg, KY
- NPI 1881726347
-
- Rural Health Clinic/Center
- Maysville, KY
- NPI 1821135518
Hospital
-
- Rural Acute Care Hospital
- Maysville, KY
- NPI 1881785863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1861490740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "991 MEDICAL PARK DR STE 203",
"city": "MAYSVILLE",
"state": "KY",
"postal_code": "410568728",
"telephone_number": "606-759-5157",
"fax_number": "606-759-5582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "991 MEDICAL PARK DR",
"city": "MAYSVILLE",
"state": "KY",
"postal_code": "410568764",
"telephone_number": "606-759-5157",
"fax_number": "606-759-5582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLER",
"first_name": "DONALD",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "KY",
"license": "34725",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64001709",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maysville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.