Individual provider Active NPI

Neal R Meyer, M.D.

  • Diagnostic Radiology Physician
  • Columbia, MO
National Provider Identifier
1013921667
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2000157493 Issued in MO
Practice address
311 N Keene St
Columbia, MO 65201-6623
Phone
(573) 442-1788
Fax
(573) 442-1789
NPI assigned
Jul 28, 2006
Last updated
May 13, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2000157493 MO Primary

Addresses

Primary practice location

311 N Keene St
Columbia, MO 65201-6623

Mailing address

311 N Keene St
Columbia, MO 65201-6623
Phone (573) 442-1788

Other identifiers 1

IdentifierTypeStateIssuer
205054505MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040618000353 MO Practitioner - Diagnostic Radiology 5092790782 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Southwestern Medical School at Dallas, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Radiology LLCGroup PAC ID 6305942129, 3 clinicians
Macon County Samaritan HospitalGroup PAC ID 1456261395, 36 clinicians
Columbia Radiology Imaging Services, LLCGroup PAC ID 8224002886, 3 clinicians
Advanced Radiology of Jefferson City, LLCGroup PAC ID 6800969528, 3 clinicians

Practice addresses (Care Compare)

1037 Palisades Blvd
Suite 7
Osage Beach, MO 65065-3527
Phone (573) 746-7010

1205 N Missouri St
Macon, MO 63552-2095
Phone (660) 385-8700

311 N Keene St
Columbia, MO 65201-6623
Phone (573) 442-1788

3218 W Edgewood Dr
Suite 200
Jefferson City, MO 65109-6951
Phone (573) 554-9806

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2000157493MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Radiology LLC Diagnostic Radiology CurrentSince Mar 1, 2007 Accepting new patients
Macon County Samaritan Hospital CurrentSince Nov 30, 2004 Accepting new patients
Advanced Radiology of Jefferson City, LLC Diagnostic Radiology CurrentSince Jun 1, 2008 Accepting new patients
Columbia Orthopaedic Group, LLP CurrentSince Oct 1, 2016 Accepting new patients
Columbia Orthopaedic Group, LLP CurrentSince Oct 1, 2016 Accepting new patients

Locations

1 S Keene St
Columbia, MO 65201
Phone (573) 443-2402

311 N Keene St
Columbia, MO 65201
Phone (573) 442-1788

3218 W Edgewood Dr
Ste 200
Jefferson Cty, MO 65109
Phone (573) 554-9806

1205 N Missouri St
Macon, MO 63552
Phone (660) 385-3151

1037 Palisades Blvd
Ste 7
Osage Beach, MO 65065
Phone (573) 442-1788

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1013921667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N KEENE ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016623",
            "telephone_number": "573-442-1788",
            "fax_number": "573-442-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N KEENE ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016623",
            "telephone_number": "573-442-1788",
            "fax_number": "573-442-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "NEAL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2000157493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205054505",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.