NPIMap

Individual provider Active NPI

Robert J Weiss, D.O.

  • Nephrology Physician
  • Greenville, SC
National Provider Identifier
1891711891
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
DO87521 Issued in SC
Practice address
29 Memorial Medical Dr
Greenville, SC 29605-4407
Phone
(864) 220-1200
Fax
(864) 220-1888
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X DO87521 SC Primary

Addresses

Primary practice location

29 Memorial Medical Dr
Greenville, SC 29605-4407

Mailing address

29 Memorial Medical Dr
Greenville, SC 29605-4407
Phone (864) 312-3105

Other practice location 1

300 Plaza Cir Ste F
Clinton, SC 29325-7557
Phone (864) 220-1200 ext. 232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081206000007 PA Practitioner - Nephrology 7911948195
I20250221000298 SC Practitioner - Nephrology 7911948195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Philadelphia College of Osteopathic Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenville Kidney Care, LLCGroup PAC ID 1557535614, 3 clinicians

Practice addresses (Care Compare)

10 Memorial Medical Dr
Greenville, SC 29605-4450
Phone (864) 220-1200

317 Professional Park Rd
Clinton, SC 29325-7625
Phone (864) 833-7600

Hospital & facility affiliations

  • Prisma Health Laurens County Hospital Hospital, Clinton, SC, CCN 420038
  • Prisma Health Greenville Memorial Hospital Hospital, Greenville, SC, CCN 420078
  • St Francis-Downtown Hospital, Greenville, SC, CCN 420023
  • Prisma Health Hillcrest Hospital Hospital, Simpsonville, SC, CCN 420037
  • Prisma Health Greer Memorial Hospital Hospital, Spartanburg, SC, CCN 420033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO87521SCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Kidney Care LLC Nephrology CurrentSince Oct 15, 2024 Accepting new patients
Nephrology Associates of Delaware County PC Nephrology Past Accepting new patients
Franklin Highway Inpatient Services PLLC Past Accepting new patients
Greenville Kidney Center, PA Nephrology PastSince Oct 15, 2024 Accepting new patients

Locations

317 Professional Park Rd
Clinton, SC 29325
Phone (864) 833-0717

300 Plaza Cir
Ste F
Clinton, SC 29325
Phone 8642201200 ext. 232

10 Memorial Medical Dr
Greenville, SC 29605
Phone (803) 242-5888

29 Memorial Medical Dr
Greenville, SC 29605
Phone (864) 220-1200

Interoperability endpoints

  • Direct secure messaging: rweiss590678@direct.ghs.myhfn.org

Organizations & group practices 4

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 54

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 54

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1891711891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 MEMORIAL MEDICAL DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054407",
            "telephone_number": "864-312-3105",
            "fax_number": "864-220-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 MEMORIAL MEDICAL DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054407",
            "telephone_number": "864-220-1200",
            "fax_number": "864-220-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Plaza Cir Ste F",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "SC",
            "postal_code": "293257557",
            "country_code": "US",
            "telephone_number": "864-220-1200 x232",
            "fax_number": "864-220-1888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISS",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "DO87521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.