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MARK JASON WEISS D.O.
NPI 1154663623
Pediatrics in Phoenix, AZ

Active since March 22, 2013PECOS Enrolled
2510 W DUNLAP AVE, STE 290, PHOENIX, AZ 85021(602) 789-0344(602) 789-8389 Get Directions Write a Review

NPPES record last updated: September 6, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mark Jason Weiss D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK JASON WEISS D.O. (NPI 1154663623) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (006886) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154663623
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMARK JASON WEISSCredential: D.O.
Location Address2510 W DUNLAP AVE, STE 290Phoenix, AZ 85021-2737
Mailing Address2510 W Dunlap Ave, Ste 290Phoenix, AZ 85021-2737 · (602) 789-0344 · Fax (602) 789-8389
Phone(602) 789-0344
Fax(602) 789-8389
Sole ProprietorNo
Enumeration DateMarch 22, 2013
Last NPPES UpdateSeptember 6, 2016
✔ NPI 1154663623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in AZ · 006886✔ Licensed in IL · 125062832
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2510 W DUNLAP AVE, Phoenix, AZ 85021
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Jason Weiss D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Mark Weiss reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Banner Physician Super Specialists Arizona LLC
4.6 mi
Nutrition, Education
5310 W THUNDERBIRD RD STE 214
Glendale, AZ 85306
  • Reassigned Medicare billing, Arizona enrollment
  • 188 clinicians in this Medicare group
NPI 1578125738 (602) 865-4480
Arizona Acute Medical Services 1 PC
7.5 mi
Hospitalist
1930 E THOMAS RD
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
  • 302 clinicians in this Medicare group
NPI 1154860674 (602) 532-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHISHIR SHAH DO
Family Medicine
2510 W DUNLAP AVE, STE 290
PHOENIX, AZ 85021
Maricopa County (602) 789-0344
DR. MOHAMMAD WISAM BAQDUNES M.D.
Internal Medicine
2510 W DUNLAP AVE, SUITE 290
PHOENIX, AZ 85021
Maricopa County (602) 789-0344
ASHLEY PEARL GRAY-ZLOTNICK
Pediatrics
2510 W DUNLAP AVE, STE 290
PHOENIX, AZ 85021
Maricopa County (602) 789-0344
BRENTIN LEE ROLLER D.O.
Internal Medicine (Infectious Disease)
2510 W DUNLAP AVE, STE 290
PHOENIX, AZ 85021
Maricopa County (602) 789-0344
HOSPITALISTS OF ARIZONA, INC.
Nurse Practitioner
2510 W DUNLAP AVE, SUITE 290
PHOENIX, AZ 85021
Maricopa County (602) 789-0344
MRS. GEANA TERRY NP-C
Nurse Practitioner (Family)
2510 W DUNLAP AVE, SUITE 290
PHOENIX, AZ 85021
Maricopa County (602) 789-0344
DR. JOANNA ANDUJAR M.D.
Pediatrics
2510 W DUNLAP AVE, STE 290
PHOENIX, AZ 85021
Maricopa County (602) 789-0344
DR. DANIELLE DAIYUN CHU M.D.
Pediatrics
2510 W DUNLAP AVE, STE 290
PHOENIX, AZ 85021
Maricopa County (602) 789-0344

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Weiss's NPI number?

The NPI number for Mark Weiss is 1154663623. It was assigned to this individual provider in the NPPES registry on March 22, 2013.

Where is Mark Weiss located?

Mark Weiss practices at 2510 W Dunlap Ave Ste 290, Phoenix, AZ 85021. The listed phone number is (602) 789-0344.

What is Mark Weiss's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mark Weiss enrolled in Medicare?

Yes. Mark Weiss is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mark Weiss's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Weiss reassigns Medicare benefits to 2 organizations: Banner Physician Super Specialists Arizona LLC (Glendale, AZ) and Arizona Acute Medical Services 1 PC (Phoenix, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Weiss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Weiss was last updated on September 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.