JOHN JOSEPH WEAVER (MD) – Diagnostic Radiology Physician, NPI 1164928685
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
342 INTERVENTIONAL RADIOLOGY in IL
Provider Addresses for JOHN JOSEPH WEAVER (MD)
2900 N Lake Shore Dr
Chicago, IL 606575640
Phone: (773) 665-6730
Type: Location
4N199 FOX MILL BLVD
SAINT CHARLES, IL 601757770
Phone: (630) 479-9503
Type: Mailing
3100 TONGASS AVE
KETCHIKAN, AK 999015746
Phone: (907) 228-4644
Fax: (907) 228-8337
Type: Location
Presence Saint Joseph Hospital, 2900, North Lake Shore Drive, Lake View, Chicago, Lake View Township, Cook County, Illinois, 60657, United States
CHICAGO, IL 606575640
Phone: (773) 665-6730
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2024-02-13 • Largest payer in this snapshot: Shockwave Medical, Inc ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Shockwave Medical, Inc | $19 |
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: 2024-05-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240522004135 | I | Interventional Radiology | WA | TBD |
| I20240523001478 | I | Interventional Radiology | AK | TBD |
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.
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 60657)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Family Practice, Family Practice | CO | |
| Diagnostic Radiology | AK | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| A N E S T H E S I O L O G Y | HI | |
| Diagnostic Radiology | WA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AK | |
| Physician Assistant | AZ | |
| Diagnostic Radiology, Interventional Radiology, Diagnostic Radiology, Interventional Radiology | WA |
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