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DR. MICHAEL JAMES WEAVER M.D.
NPI 1215995097
Family Medicine in Wakefield, RI

Active since May 02, 2006PECOS Enrolled
553 KINGSTOWN RD, WAKEFIELD, RI 02879(401) 304-9111(401) 284-0625 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 28, 2019, Mar 17, 2018, Jun 13, 2017 (3 updates tracked since 2017).

About Dr. Michael James Weaver M.d. NPPES

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

DR. MICHAEL JAMES WEAVER M.D. (NPI 1215995097) is an individual family medicine provider in Wakefield, Rhode Island, licensed in Rhode Island (5003) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Westerly.

NPPES Registry Identity

NPI1215995097
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL JAMES WEAVERCredential: M.D.
Location Address553 KINGSTOWN RDWakefield, RI 02879-3600
Mailing Address553 Kingstown RdWakefield, RI 02879-3600 · (401) 304-9111 · Fax (401) 284-0625
Phone(401) 304-9111
Fax(401) 284-0625
Sole ProprietorNo
Enumeration DateMay 2, 2006
Last NPPES UpdateAugust 28, 20193 updates tracked since enumeration
✔ NPI 1215995097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in RI · 5003
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedSurgeryTaxonomy 208600000X · License 05003 (RI)
553 KINGSTOWN RD, Wakefield, RI 02879
Open in Google Maps ↗

Secondary Practice Location 1

Location 146 Wells StWesterly, RI 02891-2924 · Phone (401) 596-0174 · Fax (401) 596-2266

Other Identifiers 1

MedicaidMW01082RI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael James Weaver M.d. 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 Reassignment

Medicare enrollment records show Michael Weaver reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Victa LLC
26 mi
Addiction Medicine
110 ELMWOOD AVE # A
Providence, RI 02907
  • Reassigned Medicare billing, Rhode Island enrollment
  • 8 clinicians in this Medicare group
NPI 1104317007 (401) 868-0654

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 02879 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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 5

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

ALYSSA MILLAR PA-C
Physician Assistant (Medical)
553 KINGSTOWN RD
WAKEFIELD, RI 02879
Washington County (401) 304-9111
FAMILY DOCTOR PLUS RI LLC
Clinic/Center (Primary Care)
553 KINGSTOWN RD
WAKEFIELD, RI 02879
Washington County (401) 304-9111
J RILEY FOWLER JR. APRN CNP
Nurse Practitioner (Family)
553 KINGSTOWN RD
WAKEFIELD, RI 02879
Washington County (401) 301-9111
A WAKEFIELD WALK-IN & PRIMARY CARE LLC
Clinic/Center (Primary Care)
553 KINGSTOWN RD
WAKEFIELD, RI 02879
Washington County (401) 932-5526
DR. MICHAEL RAYMOND IANNUCCILLI OD
Optometrist
553 KINGSTOWN RD, OPTOMETRIC PROVIDERS OF RHODE ISLAND, INC
WAKEFIELD, RI 02879
Washington County (401) 782-2100

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 Michael Weaver's NPI number?

The NPI number for Michael Weaver is 1215995097. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Michael Weaver located?

Michael Weaver practices at 553 Kingstown Rd, Wakefield, RI 02879. The listed phone number is (401) 304-9111.

What is Michael Weaver's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Weaver enrolled in Medicare?

Yes. Michael Weaver is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Weaver's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Weaver reassigns Medicare benefits to Victa LLC (Providence, RI). The 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 Michael Weaver'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 Michael Weaver was last updated on August 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.