Daniel Jack Meulenberg, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M5882 Issued in ID

Practice address

606 N 3Rd Ave Ste 101
Sandpoint, ID 83864-1594

Phone

(208) 263-1435

Fax

(208) 263-7812

NPI assigned

Jun 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Family Practice

Education

University of North Carolina at Chapel Hill School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sandpoint Family Health Center PLLCGroup PAC ID 3779598404, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eden Home Health Home health agency, Ponderay, ID, CCN 137122
• Bonner General Hospital Hospital, Sandpoint, ID, CCN 131328
• Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049
• Boundary Community Hospital Hospital, Bonners Ferry, ID, CCN 131301

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.meulenberg@direct.fhcsandpoint.nextgenshare.com

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

• Sandpoint Family Health Center, PLLC

  • Primary Care Clinic/Center
  • Sandpoint, ID
  • NPI 1881613321

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Sandpoint Family Health Center

  • Primary Care Clinic/Center
  • Sandpoint, ID
  • NPI 1609935295
  NPD

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

• Bonner General Hospital Inc.

  • Critical Access Hospital
  • Sandpoint, ID
  • NPI 1154563963
  Care Compare affiliation
• Boundary Community Hospital

  • Critical Access Hospital
  • Bonners Ferry, ID
  • NPI 1801896683
  Care Compare affiliation
• Eden Home Health of Sandpoint, LLC

  • Home Health Agency
  • Ponderay, ID
  • NPI 1346898830
  Care Compare affiliation
• Kootenai Health, Inc.

  • General Acute Care Hospital
  • Coeur D Alene, ID
  • NPI 1992798409
  Care Compare affiliation

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1043217599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 N 3RD AVE STE 101",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641594",
            "telephone_number": "208-263-5527",
            "fax_number": "208-263-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N 3RD AVE STE 101",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641594",
            "telephone_number": "208-263-1435",
            "fax_number": "208-263-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEULENBERG",
        "first_name": "DANIEL",
        "middle_name": "JACK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M5882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002792600",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Mae Meehan, OT
• Sarah Jean Meers, LMT
• Anna Mena-Schaures
• Mental Health Jiu Jitsu PLLC
• Jack Mervin
• Michelle M. Anderson FNP, P.a.
• Denise Elizabeth Midstokke, CPM
• Mihin Chiropractic Clinic, PLLC
• Beth Elisha Miller, PA-C
• McKellyn Miller

• Family Medicine Physician in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.