1. Home
  2. Directory
  3. California
  4. Travis Afb
  5. Pediatrics
  6. NPI Profile

DR. ROBERT SHANE WEATHERWAX M.D.
NPI 1669671806
Pediatrics in Travis Afb, CA

Active since July 17, 2007PECOS Enrolled
101 BODIN CIR, TRAVIS AFB, CA 94535(707) 423-3906 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 20, 2024, May 9, 2024, Jul 12, 2023 and 1 more (4 updates tracked since 2018).

About Dr. Robert Shane Weatherwax M.d. NPPES

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

DR. ROBERT SHANE WEATHERWAX M.D. (NPI 1669671806) is an individual pediatrics provider in Travis Afb, California, licensed in Nebraska (25743) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669671806
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. ROBERT SHANE WEATHERWAXCredential: M.D.
Location Address101 BODIN CIRTravis Afb, CA 94535-1809
Mailing Address101 Bodin CirTravis Afb, CA 94535-1809 · (707) 423-3906
Phone(707) 423-3906
Sole ProprietorNo
Enumeration DateJuly 17, 2007
Last NPPES UpdateJune 20, 20244 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1669671806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NE · 25743
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.
101 BODIN CIR, Travis Afb, CA 94535
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Robert Shane Weatherwax 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94535 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
$98.85 typical visit price
range $65.02 – $191.95
Typical copayment $24.71 (range $16.25 – $47.98)
Most-billed visit code 99203
Established Patient
$113.05 typical visit price
range $21.86 – $157.69
Typical copayment $28.26 (range $5.46 – $39.42)
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.

EDWARD SEAN RODRIGUEZ I.D.M.T
Military Health Care Provider (Independent Duty Medical Technicians)
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-5478
KENDRA MONICA HILL PT
Physical Therapist
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-3000
TIMOTHY GUENTHER MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-3000
ANGELA GIESE MD
Surgery (Vascular Surgery)
101 BODIN CIR
FAIRFIELD, CA 94535
Solano County (707) 423-3000
DR. JOSCELYN D. A. C. AQUININGOC PHARMD
Pharmacist
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (626) 297-8649
DR. ARTHUR JOSEPH MESTAS MD
Family Medicine
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-7295
CATHERINE CELINE BRANSTETTER
Dentist (General Practice)
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-7085
MEGAN ELIZABETH LEE MD
Student in an Organized Health Care Education/Training Program
101 BODIN CIR
FAIRFIELD, CA 94535
Solano County (707) 423-3000

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 Robert Weatherwax's NPI number?

The NPI number for Robert Weatherwax is 1669671806. It was assigned to this individual provider in the NPPES registry on July 17, 2007.

Where is Robert Weatherwax located?

Robert Weatherwax practices at 101 Bodin Cir, Travis Afb, CA 94535. The listed phone number is (707) 423-3906.

What is Robert Weatherwax's specialty?

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

Is Robert Weatherwax enrolled in Medicare?

Yes. Robert Weatherwax is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Weatherwax was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.