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DYLAN WEAVER
NPI 1912601279
Radiology - Diagnostic Radiology in Dallas, TX

Active since March 29, 2023PECOS Enrolled
3500 GASTON AVE, DALLAS, TX 75246(214) 820-2362 Get Directions Write a Review

NPPES record last updated: April 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 4, 2026, Mar 29, 2023 (2 updates tracked since 2023).

About Dylan Weaver NPPES

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

DYLAN WEAVER (NPI 1912601279) is an individual diagnostic radiology provider in Dallas, Texas, licensed in Texas (V3454) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (2023).

NPPES Registry Identity

NPI1912601279
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDYLAN WEAVER
Location Address3500 GASTON AVEDallas, TX 75246-2017
Mailing Address6301 Highland Hills DrAustin, TX 78731-4105 · (512) 925-6136
Phone(214) 820-2362
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2023
Enumeration DateMarch 29, 2023
Last NPPES UpdateApril 4, 20262 updates tracked since enumeration
NPPES CertifiedApril 4, 2026
✔ NPI 1912601279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in TX · V3454
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3500 GASTON AVE, Dallas, TX 75246
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dylan Weaver is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234598319
PECOS Enrollment IDI20260326000489
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 75246 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
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.

DR. JAIME ALBERT CAMPBELL M.D., M.S.
Pathology (Anatomic Pathology & Clinical Pathology)
3500 GASTON AVE, BAYLOR UNIVERSITY MEDICAL CENTER, DEPT OF PATHOLOGY
DALLAS, TX 75246
Dallas County (214) 820-3772
MICHELLE CAIN AGACNP
Nurse Practitioner (Acute Care)
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-2050
DR. MATTHEW PAUL CLEMONS MD
Radiology (Diagnostic Radiology)
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-2361
ROBERT COLE FORE RN
Registered Nurse
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-0111
JAMES PIERRE D'ETIENNE MD
Emergency Medicine
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-2505
DR. JO ANN F. TRAVIS M.D.
Anesthesiology
3500 GASTON AVE, DEPARTMENT OF ANESTHESIOLOGY
DALLAS, TX 75246
Dallas County (214) 549-4835
ASIF ZIA KHATTAK MD
Pediatrics (Neonatal-Perinatal Medicine)
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-7604
FATIMA KHAN
Student in an Organized Health Care Education/Training Program
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (844) 279-3627

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 Dylan Weaver's NPI number?

The NPI number for Dylan Weaver is 1912601279. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Where is Dylan Weaver located?

Dylan Weaver practices at 3500 Gaston Ave, Dallas, TX 75246. The listed phone number is (214) 820-2362.

What is Dylan Weaver's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Dylan Weaver enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Dylan Weaver was last updated on April 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.