Active NPI
Zachary Weiss, MD
- Family Medicine Physician
- Nampa, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M-14005
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932557782 | Medicaid | ID |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- 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
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
- Idaho Home Health & Hospice
- Saint Alphonsus Regional Medical Center
- Saint Alphonsus Medical Center - Nampa
- St Luke'S Regional Medical Center
- Saint Alphonsus Medical Center Ontario
- Cibola General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Idaho- Nampa PLLC | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Sound Physicians of Idaho | Family Medicine | Current | Accepting new patients |
| Saint Alphonsus Regional Medical Center Inc | Current | 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
- 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.
-
- Psychologist
- Boise, ID
- NPI 1649357716
-
- Emergency Medicine Physician
- Lewiston, ID
- NPI 1558995316
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Twin Falls, ID
- NPI 1356669675
-
- Home Health Agency
- Boise, ID
- NPI 1598717696
-
- General Acute Care Hospital
- Nampa, ID
- NPI 1659371870
-
- General Acute Care Hospital
- Boise, ID
- NPI 1184155426
-
- General Acute Care Hospital
- Boise, ID
- NPI 1457414948
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Hospital
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
-
- Critical Access Hospital
- Grants, NM
- NPI 1780677039
-
- General Acute Care Hospital
- Ontario, OR
- NPI 1891891792
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.