Clyde R Meckel, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

19930 Issued in NE

Practice address

1600 S 48TH St
Suite 600
Lincoln, NE 68506-1275

Phone

(402) 483-3333

Fax

(402) 483-3297

NPI assigned

Aug 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NE, KS2 enrollments

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 2

Specialty

Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)

Education

University of Nebraska College of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Cardiology Group LLCGroup PAC ID 7911803796, 78 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bryan Medical Center Hospital, Lincoln, NE, CCN 280003
• York General Health Care Services Hospital, York, NE, CCN 281336
• Memorial Hospital Hospital, Aurora, NE, CCN 281320
• Valley County Health System Hospital, Ord, NE, CCN 281353
• Fillmore County Hospital Hospital, Geneva, NE, CCN 281301
• Madonna Rehabilitation Hospital Lincoln Inpatient rehabilitation facility, Lincoln, NE, CCN 283025

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cmeckel10785@hisp.bryanhealth.org

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.

• Integrated Cardiology Group LLC

  • Cardiovascular Disease Physician
  • Lincoln, NE
  • NPI 1982653515

  KS

  Medicare reassignment Care Compare group NPD
• Bryan Medical Center

  • General Acute Care Hospital
  • Lincoln, NE
  • NPI 1528006103
  NPD (past)

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

• Bryan Medical Center

  • General Acute Care Hospital
  • Lincoln, NE
  • NPI 1528006103
  Care Compare affiliation
• Bryan Medical Center

  • Clinical Medical Laboratory
  • Lincoln, NE
  • NPI 1689203077

  Hospital

  Care Compare affiliation
• Bryan Medical Center

  • Diagnostic Radiology Physician
  • Lincoln, NE
  • NPI 1699384370

  Hospital

  Care Compare affiliation
• Fillmore County Hospital

  • Critical Access Hospital
  • Geneva, NE
  • NPI 1689769382
  Care Compare affiliation
• Madonna Rehabilitation Hospital

  • Rehabilitation Hospital
  • Lincoln, NE
  • NPI 1558458091

  Inpatient rehabilitation facility

  Care Compare affiliation
• Memorial Community Health, Inc

  • Critical Access Hospital
  • Aurora, NE
  • NPI 1063429694
  Care Compare affiliation
• Valley County Hospital

  • Critical Access Hospital
  • Ord, NE
  • NPI 1609834985
  Care Compare affiliation
• York General Hospital

  • Critical Access Hospital
  • York, NE
  • NPI 1588764898
  Care Compare affiliation

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1104932722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S 48TH ST",
            "address_2": "SUITE 600",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061275",
            "telephone_number": "402-483-3333",
            "fax_number": "402-483-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S 48TH ST",
            "address_2": "SUITE 600",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061275",
            "telephone_number": "402-483-3333",
            "fax_number": "402-483-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECKEL",
        "first_name": "CLYDE",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NE",
            "license": "19930",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NE",
            "license": "19930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208462200",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47084496100",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1537191",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100418760C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100418760A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Meadows
• Brienne Leigh Anne Meaghers-Hays, LIMHP
• Glory Meakin, DDS
• Meaningful Psychiatric Services LLC
• Rachel Valarie Meaux
• Med Smart Billing, LLC
• Meddex Solutions
• Medelite Urgent Care L.L.C.
• Medelite Urgent Care L.L.C.
• Bettina Meder

• Interventional Cardiology Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Interventional Cardiology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.