Individual provider Active NPI

Nathan Michael Weir, M.D., PH.D.

  • Dermatology Physician
  • Mason, OH
National Provider Identifier
1861735912
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35.130393 Issued in OH
Practice address
5160 Socialville Foster Rd
Mason, OH 45040-9842
Phone
(513) 770-3263
NPI assigned
Mar 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 35.130393 OH Primary

Addresses

Primary practice location

5160 Socialville Foster Rd
Mason, OH 45040-9842

Mailing address

4998 Gareth LN
Cincinnati, OH 45241-5909
Phone (509) 591-2776

Other identifiers 1

IdentifierTypeStateIssuer
0249780MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20170921003398 OH Practitioner - Dermatology 8527288026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Wright State University Boonshoft School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatologists of Southwestern Ohio, LLCGroup PAC ID 7113973041, 116 clinicians

Practice addresses (Care Compare)

6480 Harrison Ave
Suite 303
Cincinnati, OH 45247-7961
Phone (513) 541-5050

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision137
Removal of skin lesions1698
Removal or shaving of skin growth298
Skin biopsy279

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.130393OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatologists of Southwestern Ohio, LLC. Dermatology CurrentSince Jun 24, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

4243 Hunt Rd
Ste 100
Blue Ash, OH 45242

7691 5 Mile Rd
Ste 312
Cincinnati, OH 45230
Phone (513) 232-3332

6909 Good Samaritan Dr
Ste B
Cincinnati, OH 45247
Phone (513) 389-9911

6480 Harrison Ave
Ste 303
Cincinnati, OH 45247
Phone (513) 541-5050

5300 Far Hills Ave
Dayton, OH 45429
Phone (513) 433-7536

7835 Paragon Rd
Dayton, OH 45459
Phone (937) 434-2351

Interoperability endpoints

  • Direct secure messaging: drweir@cinciderm.emadirect.md

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": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1861735912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4998 GARETH LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452415909",
            "telephone_number": "509-591-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 SOCIALVILLE FOSTER RD",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450409842",
            "telephone_number": "513-770-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIR",
        "first_name": "NATHAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.130393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0249780",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.