MATTHEW WEBER – Family Medicine Physician, NPI 1205412715

MATTHEW WEBER is a healthcare provider. based in Miami, Florida. specializing in FAMILY PRACTICE. They hold a License No. ME164992 (FL). The NPI Number for MATTHEW WEBER is 1205412715

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW WEBER
NPI
1205412715
Phone
(404) 663-4045
Address
1611 NW 12TH AVE
Enumeration Date
23 March 2021
Last Update Date
30 July 2025

Doctor Profile

Medical School Name
WISCONSIN COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
8886636331
Graduation Year
2021 (5 years ago)
PAC ID
2163961921
Group Practice PAC ID
3870405301
Professional Enrollment ID
I20240826001538
Address ID
FL331336007MI2984XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for MATTHEW WEBER

  • 1611 NW 12TH AVE

    MIAMI, FL 331361005

    Phone: (404) 663-4045

    Type: Location

  • 250 WEBNEY DR

    MARIETTA, GA 300683860

    Phone: (404) 663-4045

    Type: Mailing

  • 1350 Connecticut Ave NW

    Washington, DC 200361722

    Phone: (888) 663-6331

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240826001538IFamily PracticeFLTBD
I20250725002335IFamily PracticeDCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33136)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870405301View full group profile
NameSpecialtyState
Family PracticeFL
Family PracticeFL
Nurse PractitionerFL
Family PracticeFL
Physician AssistantNY
Family PracticeWI
Internal MedicineFL
Family PracticeCT
Family PracticeFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What identifier follows MATTHEW WEBER across health systems?
The NPI 1205412715 uniquely identifies MATTHEW WEBER in U.S. healthcare data.
Is MATTHEW WEBER's NPI status active today?
Active status means MATTHEW WEBER's NPI record is not deactivated in the public file.
How should patients interpret MATTHEW WEBER's specialty?
The extract shows Family Medicine Physician for MATTHEW WEBER. Clinical services aligned with this taxonomy classification.
Can patients visit MATTHEW WEBER in Miami, Florida?
For routing, start with Miami, Florida for MATTHEW WEBER, then verify phone and hours locally.
Why is information missing for MATTHEW WEBER?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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