Ronald S Weiss, M.D.
Individual provider Active NPI Ophthalmology Physician · Stickney, IL
NPI 1912910019 · NPPES record last updated Apr 29, 2015
Key facts
- NPI
- 1912910019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 036079050 (IL)
- Practice address
- 4401 Harlem Ave
Stickney, IL 60402-4250 - Phone
- (708) 788-3400
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- Northwestern University Feinberg Medical School, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eye Center Physicians, LTD.
Ronald S Weiss MD SC
Practice addresses (Care Compare)
1725 W Harrison St
Suite 906
Chicago, IL 60612-3848
Phone (312) 942-5315
4401 S Harlem Ave
Stickney, IL 60402-4250
Phone (708) 788-3400
Hospital & facility affiliations
- Macneal Hospital
- Rush University Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 293 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060220000191 | IL | Practitioner - Ophthalmology | 2466467147 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald S Weiss MD SC | Ophthalmology | Current |
Accepting new patients |
| Cermak Optical, Inc | Past |
Accepting new patients |
Locations
4401 S Harlem Ave
Stickney, IL 60402
Phone (708) 788-3400
Interoperability endpoints
- ronald.weiss.p10@direct.hauserross.nextgenshare.com
- rweiss3766@direct.rush.rush-health.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036079050 | IL | Yes |
Addresses
Primary practice location
4401 Harlem Ave
Stickney, IL 60402-4250
Mailing address
4401 Harlem Ave
Stickney, IL 60402-4250
Phone (708) 788-3400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036079050 | Medicaid | IL |
Other providers in Stickney, IL
- Cristina Solis
- Stickney Public Health District
- Stickney Public Health District
- Frances C Strulovitch
- Village of Stickney
- Kirsty West
- Jacqueline White
- Peter Ray Wildman
- Linda Rose Zervos
All providers in Stickney, IL · Ophthalmology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.