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DR. MICAELA WEAVER D.O.
NPI 1992111884
Surgery - Surgical Oncology in Providence, RI

Active since July 11, 2014PECOS EnrolledAccepts Medicare Assignment
1 BLACKSTONE STREET, 2ND FLOOR, PROVIDENCE, RI 02903(401) 453-7520 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2021, Jun 8, 2020, Oct 13, 2019 (3 updates tracked since 2019).

About Dr. Micaela Weaver D.o. NPPES

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

DR. MICAELA WEAVER D.O. (NPI 1992111884) is an individual surgical oncology provider in Providence, Rhode Island, licensed in Rhode Island (DO00965) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1992111884
Entity TypeIndividualFemale
Primary Taxonomy2086X0206X
Provider Legal NameDR. MICAELA WEAVERCredential: D.O.
Location Address1 BLACKSTONE STREET, 2ND FLOORProvidence, RI 02903
Mailing Address1 Blackstone PlProvidence, RI 02903-4942 · (401) 453-7540
Phone(401) 453-7520
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2014
Enumeration DateJuly 11, 2014
Last NPPES UpdateJune 25, 20213 updates tracked since enumeration
NPPES CertifiedMay 10, 2021
✔ NPI 1992111884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
Licenses✔ Licensed in RI · DO00965✔ Licensed in MA · 285738
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedSurgeryTaxonomy 208600000X · License DO00965 (RI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1 BLACKSTONE STREET, Providence, RI 02903
Open in Google Maps ↗

Secondary Practice Locations 4

Location 14500 Parsons Blvd, FHMC Dept of General Surgery--Residency CoordinatorFlushing, NY 11355-2205 · Phone (718) 670-5000 ext. 012
Location 2455 Toll Gate RdWarwick, RI 02886-2759 · Phone (401) 737-7000
Location 3101 Dudley StProvidence, RI 02905-2499 · Phone (401) 274-1122
Location 4277 Pleasant St Ste 203Fall River, MA 02721-3005 · Phone (508) 673-1033 · Fax (508) 673-1147

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Micaela Weaver D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385989474
PECOS Enrollment IDI20200805000694
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
54 services40 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services37 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
15 services14 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410010
Location101 Dudley StreetProvidence, RI 02905 · Providence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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
$177.03 typical visit price
range $58.57 – $177.03
Typical copayment $44.25 (range $14.64 – $44.25)
Most-billed visit code 99205
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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 12

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

DR. MOHAMMED ALI JALOUDI MD
Internal Medicine (Medical Oncology)
1 BLACKSTONE STREET, 2ND FLOOR
PROVIDENCE, RI 02903
Providence County (401) 453-7520
ELIZABETH RICCI NP
Nurse Practitioner (Women's Health)
1 BLACKSTONE STREET, WIH PROGRAM IN WOMEN'S ONCOLOGY
PROVIDENCE, RI 02903
Providence County (401) 453-7520
JULIA ROSE SALINARO MD
Obstetrics & Gynecology (Gynecologic Oncology)
1 BLACKSTONE STREET, 3RD FLOOR
PROVIDENCE, RI 02903
Providence County (401) 453-7052
STEPHANIE LYNN CHEVES NP
Nurse Practitioner (Gerontology)
1 BLACKSTONE STREET, 3 RD FLOOR
PROVIDENCE, RI 02903
Providence County (401) 453-7520
MS. MARCINA LYNN BEASTON-CASEY MS, CGC
Genetic Counselor, MS
1 BLACKSTONE STREET, FLOOR 2
PROVIDENCE, RI 02903
Providence County (401) 453-7520
KATHERINE G MILLER MD
Obstetrics & Gynecology (Gynecologic Oncology)
1 BLACKSTONE STREET
PROVIDENCE, RI 02903
Providence County (401) 453-7520
MARC A HOULE PT
Physical Therapist
1 BLACKSTONE STREET, 3RD FLOOR
PROVIDENCE, RI 02903
Providence County (401) 453-7520
DR. CARA A MATHEWS MD
Obstetrics & Gynecology
1 BLACKSTONE STREET, 3RD FLOOR
PROVIDENCE, RI 02903
Providence County (401) 453-7520

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 Micaela Weaver's NPI number?

The NPI number for Micaela Weaver is 1992111884. It was assigned to this individual provider in the NPPES registry on July 11, 2014.

Where is Micaela Weaver located?

Micaela Weaver practices at 1 Blackstone Street 2nd Floor, Providence, RI 02903. The listed phone number is (401) 453-7520.

What is Micaela Weaver's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Micaela Weaver enrolled in Medicare?

Yes. Micaela Weaver is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Micaela Weaver affiliated with any hospitals?

According to CMS data, Micaela Weaver is affiliated with Rhode Island Hospital, Kent County Memorial Hospital and Women & Infants Hospital Of Rhode Island.

When was this NPI record last updated?

The NPPES record for Micaela Weaver was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.