Individual provider Active NPI

Stacy H Weiss, M.D.

  • Obstetrics & Gynecology Physician
  • Arlington HTS, IL
National Provider Identifier
1902806086
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036-105635 Issued in IL
Practice address
1051 W Rand Rd
Suite 101
Arlington HTS, IL 60004-2315
Phone
(847) 221-4900
Fax
(847) 221-4996
NPI assigned
Jul 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036-105635 IL Primary

Addresses

Primary practice location

1051 W Rand Rd
Suite 101
Arlington HTS, IL 60004-2315

Mailing address

1051 W Rand Rd Ste 101
Arlington Heights, IL 60004-2315
Phone (847) 221-4900

Other practice location 1

15 S McHenry Rd
Buffalo Grove, IL 60089-6705
Phone (847) 221-4900

Other identifiers 2

IdentifierTypeStateIssuer
036105635MedicaidIL
036105635OtherILSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sweiss@womancarepc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20050720000636 IL Practitioner - Obstetrics/Gynecology 7810924917 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Chicago College of Medicine and Surgery, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Northwest Community Women Services LLCGroup PAC ID 7214203942, 20 clinicians

Practice addresses (Care Compare)

1051 W Rand Rd
Suite 101
Arlington Heights, IL 60004-2315
Phone (847) 212-3885

Hospital & facility affiliations

  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
84.02
Promoting interoperability
98
Improvement activities
40
Cost
72.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-105635ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Community Health Services Inc CurrentSince Jun 1, 2017 Accepting new patients
Womancare, P.C. Obstetrics & Gynecology CurrentSince Apr 1, 2009 Accepting new patients
Northwest Community Women Services LLC Obstetrics & Gynecology CurrentSince Oct 1, 2017 Accepting new patients
Northwest Community Health Services Inc CurrentSince Jun 1, 2017 Accepting new patients
Endeavor Health Medical Group Obstetrics & Gynecology Past Accepting new patients
Northwest Community Healthcare Past Accepting new patients

Locations

3040 W Salt Creek Ln
Arlington Heights, IL 60005
Phone (847) 618-3481

1051 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 221-4601

1051 W Rand Rd
Ste 101
Arlington Hts, IL 60004
Phone (847) 212-3885

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

15 S McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-6100

15 S McHenry Rd
Fl 4
Buffalo Grove, IL 60089
Phone (847) 520-9424

25233 Network Pl
Chicago, IL 60673

29651 Network Pl
Chicago, IL 60673

355 W Northwest Hwy
Palatine, IL 60067
Phone (847) 221-4700

363 W Northwest Hwy
Palatine, IL 60067
Phone (847) 221-4600

1875 W Dempster St
Ste 360
Park Ridge, IL 60068
Phone (847) 825-1100

455 S Roselle Rd
Ste 120
Schaumburg, IL 60193
Phone (847) 212-3885

455 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 352-5511

Interoperability endpoints

  • Direct secure messaging: stacy.weiss@wmpc.eclinicaldirectplus.com
  • FHIR API: https://epicprdproxy.nch.org/prd-fhir/api/FHIR/R4

Organizations & group practices 6

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 2

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1902806086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 W RAND RD STE 101",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600042315",
            "telephone_number": "847-221-4900",
            "fax_number": "847-221-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 W RAND RD",
            "address_2": "SUITE 101",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600042315",
            "telephone_number": "847-221-4900",
            "fax_number": "847-221-4996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 S McHenry Rd",
            "address_purpose": "LOCATION",
            "city": "Buffalo Grove",
            "state": "IL",
            "postal_code": "600896705",
            "country_code": "US",
            "telephone_number": "847-221-4900",
            "fax_number": "847-221-4996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISS",
        "first_name": "STACY",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-105635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036105635",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036105635",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sweiss@womancarepc.com",
            "affiliation": "N",
            "address_1": "455 S Roselle Rd",
            "city": "Schaumburg",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601932971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington HTS, IL

Sources for this page

Verify at the official NPI Registry.