Individual provider Active NPI

Zachary Weiss, MD

  • Family Medicine Physician
  • Nampa, ID
National Provider Identifier
1932557782
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-14005 Issued in ID
Practice address
1510 12TH Ave Rd Ste 200
Nampa, ID 83686-6008
Phone
(208) 302-6800
Fax
(208) 302-6855
NPI assigned
Jun 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MRM-1580 ID
Family Medicine Physician 207Q00000X M-14005 ID Primary

Addresses

Primary practice location

1510 12TH Ave Rd Ste 200
Nampa, ID 83686-6008

Mailing address

3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-6800

Other practice location 1

2275 S Eagle Rd Ste 120
Meridian, ID 83642-2620
Phone (208) 514-2520

Other identifiers 1

IdentifierTypeStateIssuer
1932557782MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20200420001331 ID Practitioner - Family PracticePractitioner - Geriatric MedicinePractitioner - Hospitalist 6507159340 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
University of New Mexico School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Alphonsus Regional Medical Center IncGroup PAC ID 3476462359, 672 clinicians

Practice addresses (Care Compare)

1055 N Curtis
Boise, ID 83706-1309

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121

1510 12TH Ave Rd
Suite 200
Nampa, ID 83686-6008
Phone (208) 302-6899

1512 12TH Ave Rd
Suite 100
Nampa, ID 83686-6008
Phone (208) 467-1171

215 E Hawaii Ave
Nampa, ID 83686-6011

3025 W Cherry LN
Meridian, ID 83642-8531

Hospital & facility affiliations

  • Enhabit Home Health & Hospice Home health agency, Boise, ID, CCN 137006
  • Idaho Home Health & Hospice Home health agency, Twin Falls, ID, CCN 137014
  • Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007
  • Saint Alphonsus Medical Center - Nampa Hospital, Nampa, ID, CCN 130013
  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006
  • Saint Alphonsus Medical Center Ontario Hospital, Ontario, OR, CCN 380052
  • Cibola General Hospital Hospital, Grants, NM, CCN 321308

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Idaho- Nampa PLLC CurrentSince Sep 18, 2021 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Apr 1, 2020 Accepting new patients
Sound Physicians of Idaho Family Medicine CurrentSince Sep 18, 2021 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Apr 1, 2020 Accepting new patients

Locations

777 N Raymond St
Boise, ID 83704
Phone (208) 367-6030

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

415 6th St
Lewiston, ID 83501
Phone (208) 750-7445

3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342

3025 W Cherry Ln
Meridian, ID 83642
Phone (208) 302-6400

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

4300 E Flamingo Ave
Nampa, ID 83687
Phone (208) 205-1000

1512 12th Ave Rd
Nampa, ID 83686
Phone (208) 463-5000

1510 12th Ave Rd
Ste 200
Nampa, ID 83686
Phone (208) 302-0600

Interoperability endpoints

  • Direct secure messaging: zweiss1563103@direct.trinity-health.org

Organizations & group practices 5

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 12

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": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1932557782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-302-6800",
            "fax_number": "208-302-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 12TH AVE RD STE 200",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866008",
            "telephone_number": "208-302-6800",
            "fax_number": "208-302-6855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2275 S Eagle Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836422620",
            "country_code": "US",
            "telephone_number": "208-514-2520",
            "fax_number": "208-375-2217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISS",
        "first_name": "ZACHARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "MRM-1580",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-14005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932557782",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.