Individual provider Active NPI

Robert M Weiss

  • Gastroenterology Physician
  • Holyoke, MA
National Provider Identifier
1861575953
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
57667 Issued in MA
Practice address
10 Hospital Dr
Ste 102
Holyoke, MA 01040-6603
Phone
(413) 534-1132
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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 57667 MA
Gastroenterology Physician 207RG0100X 57667 MA Primary

Addresses

Primary practice location

10 Hospital Dr
Ste 102
Holyoke, MA 01040-6603

Mailing address

PO Box 9132
Brookline, MA 02446-9132
Phone (800) 927-0002

Other identifiers 4

IdentifierTypeStateIssuer
057667OtherMATUFTS
J06268OtherMABCBS
AA141058OtherMAHPHC
3020690MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050415000337 MA Practitioner - Gastroenterology 1456398916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Columbia University College of Physicians and Surgeons, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Valley Gastroenterology Associates PCGroup PAC ID 4284790361, 2 clinicians

Practice addresses (Care Compare)

10 Hospital Dr
Holyoke, MA 01040-6603
Phone (413) 534-6033

Hospital & facility affiliations

  • Holyoke Medical Center Hospital, Holyoke, MA, CCN 220024
  • Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015

Merit-based Incentive Payment System (MIPS)

Final score
90.3 of 100Reported as individual
Quality
83.28
Improvement activities
40
Cost
82.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy207
Upper gastrointestinal (GI) endoscopy for acid reflux88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57667MAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Valley Gastroenterology Associates, PC Gastroenterology CurrentSince Jan 1, 2009 Accepting new patients

Locations

10 Hospital Dr
Ste 102
Holyoke, MA 01040
Phone (413) 534-1132

10 Hospital Dr
#0
Holyoke, MA 01040

10 Hospital Dr
Holyoke, MA 01040
Phone (413) 534-1124

Interoperability endpoints

  • Direct secure messaging: robert.weiss@pvga.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCCEBA/Endpoint/GCCEBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCCEBA

Organizations & group practices 1

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 3

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1861575953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9132",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024469132",
            "telephone_number": "800-927-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HOSPITAL DR",
            "address_2": "STE 102",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406603",
            "telephone_number": "413-534-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "ROBERT",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "57667",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "57667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "057667",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J06268",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "AA141058",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3020690",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.