Individual provider Active NPI

Kevin L Meacham, M.D.

  • Obstetrics & Gynecology Physician
  • New Rochelle, NY
National Provider Identifier
1043247901
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
175682 Issued in NY
Practice address
16 Guion PL
New Rochelle, NY 10801-5503
Phone
(914) 632-5000
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 175682 NY Primary

Addresses

Primary practice location

16 Guion PL
New Rochelle, NY 10801-5503

Mailing address

16 Guion PL
New Rochelle, NY 10801-5503
Phone (914) 632-5000

Other identifiers 1

IdentifierTypeStateIssuer
01432099MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080130000413 NY Practitioner - Obstetrics/Gynecology 9133201163 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York Medical College, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

170 Maple Ave
FL 4
White Plains, NY 10601-4710
Phone (914) 328-8444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
175682NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White Plains Physician Services PC Obstetrics & Gynecology CurrentSince Jun 1, 2021 Accepting new patients
White Plains Hospital Medical Center Current Accepting new patients
White Plains Hospital Medical Center CurrentSince Jul 15, 2013 Accepting new patients
White Plains Hospital Medical Center Past Accepting new patients
Sound Shore Physician Services Past Accepting new patients
White Plains Hospital Medical Center Past Accepting new patients

Locations

99 Business Park Dr
Armonk, NY 10504
Phone (914) 219-8515

2071 Boston Post Rd
Larchmont, NY 10538
Phone (914) 833-1000

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

222 Westchester Ave
Ste 200
West Harrison, NY 10604
Phone (914) 974-3463

170 Maple Ave
Ste 201
White Plains, NY 10601
Phone (914) 681-2783

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

170 Maple Ave
Fl 4
White Plains, NY 10601
Phone (914) 328-8444

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

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 and National Provider Directory roles.

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1043247901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 GUION PL",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015503",
            "telephone_number": "914-632-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 GUION PL",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015503",
            "telephone_number": "914-632-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEACHAM",
        "first_name": "KEVIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "175682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01432099",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.