Individual provider Active NPI

Matthew Scott Weintraub, DPM

  • Foot & Ankle Surgery Podiatrist
  • Conyers, GA
National Provider Identifier
1902330848
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD001445 Issued in GA
Practice address
1567 Milstead Rd NE Ste a
Conyers, GA 30012-3835
Phone
(770) 483-2291
Fax
(770) 483-2927
NPI assigned
Apr 18, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD001445 GA Primary

Addresses

Primary practice location

1567 Milstead Rd NE Ste a
Conyers, GA 30012-3835

Mailing address

1567 Milstead Rd NE Ste a
Conyers, GA 30012-3835
Phone (770) 483-2291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210816001545 GA Practitioner - Podiatry 1355765280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1567 Milstead Rd NE
Suite a
Conyers, GA 30012-3835
Phone (770) 483-2291

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.51 of 100Reported as individual
Quality
71.01
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue12
Removal of nail tissue117
Removal or shaving of skin growth15
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MSW Podiatry, PC Podiatrist CurrentSince May 1, 2023 Accepting new patients

Locations

1567 Milstead Rd NE
#A
Conyers, GA 30012
Phone (770) 483-2291

Interoperability endpoints

  • Direct secure messaging: matthew.weintraub.1@29984.direct.athenahealth.com

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 1

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": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1902330848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1567 MILSTEAD RD NE STE A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123835",
            "telephone_number": "770-483-2291",
            "fax_number": "770-483-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1567 MILSTEAD RD NE STE A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123835",
            "telephone_number": "770-483-2291",
            "fax_number": "770-483-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINTRAUB",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-18",
        "last_updated": "2024-07-17",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.