Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leroy D Weaver Jr., MD

Individual provider Diagnostic Radiology Physician · NPI 1710950258

Leroy D Weaver Jr., MD is a Diagnostic Radiology in Mishawaka, Indiana. Graduated from Indiana University School of Medicine in 2000, 26 years ago. Practices with Radiology Inc, a 35-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
26
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2006
Specialties on file
8
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

620 W Edison Rd Ste 110
Mishawaka, IN 46545-2784
Phone: (574) 258-1100
Fax: (574) 258-1101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 01060476A (IN)
Body Imaging Physician Taxonomy 2085B0100X · Licence 01060476A (IN)
Neuroradiology Physician Taxonomy 2085N0700X · Licence 01060476A (IN)
Nuclear Radiology Physician Taxonomy 2085N0904X · Licence 01060476A (IN)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence 01060476A (IN)
Therapeutic Radiology Physician Taxonomy 2085R0203X · Licence 01060476A (IN)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 01060476A (IN)
Diagnostic Ultrasound Physician Taxonomy 2085U0001X · Licence 01060476A (IN)

Record details

NPI number1710950258
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 7, 2006
Last updated in NPPESMay 16, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Radiology Inc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Other providers in Mishawaka