Active NPI
Veronica Mesquida, M.D.
- Rheumatology Physician
- Duluth, MN
National Provider Identifier
1104880822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 58120
- Practice address
- 1000 E 1St St
Ste. 203
Duluth, MN 55805-2297 - Phone
- (218) 249-6960
- Fax
- (218) 249-6969
- NPI assigned
- Apr 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 58120 | MN | Primary |
Addresses
Primary practice location
1000 E 1St St
Ste. 203
Duluth, MN 55805-2297
Mailing address
1000 E 1St St
Ste. 203
Duluth, MN 55805-2297
Phone (218) 249-6960
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CF2064 | Other | IL | RAILROAD GROUP |
| 036118514 | Other | IL | ILLINIOS MD LICENSE |
| 200466110 | Medicaid | IN | |
| 036118514 | Medicaid | IL | |
| P00252724 | Other | IN | RAIL ROAD MEDICARE |
| 753210 | Other | IL | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485475200000",
"number": "1104880822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E 1ST ST",
"address_2": "STE. 203",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052297",
"telephone_number": "218-249-6960",
"fax_number": "218-249-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E 1ST ST",
"address_2": "STE. 203",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052297",
"telephone_number": "218-249-6960",
"fax_number": "218-249-6969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESQUIDA",
"first_name": "VERONICA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-12",
"last_updated": "2017-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MN",
"license": "58120",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD GROUP",
"identifier": "CF2064",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINIOS MD LICENSE",
"identifier": "036118514",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200466110",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036118514",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00252724",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "753210",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.