Individual provider Active NPI

Russell Edward Meyer, M.D.

  • Diagnostic Radiology Physician
  • Berlin, VT
National Provider Identifier
1124260138
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
042.0013256 Issued in VT
Practice address
130 Fisher Rd
CVMC-Radiology
Berlin, VT 05602-9516
Phone
(802) 371-4250
Fax
(802) 371-5352
NPI assigned
Apr 6, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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 042.0013256 VT Primary

Addresses

Primary practice location

130 Fisher Rd
CVMC-Radiology
Berlin, VT 05602-9516

Mailing address

130 Fisher Rd
CVMC-Radiology
Berlin, VT 05602-9516
Phone (802) 371-4250

Other practice location 1

7595 Anagram Dr
Eden Prairie, MN 55344-7399
Phone (612) 573-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VT, MN, ND4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20150828001895 NY Practitioner - Diagnostic Radiology 4082680400 Reassigns benefits to 5 organizations
I20151029002928 VT Practitioner - Diagnostic Radiology 4082680400 Reassigns benefits to 7 organizations
I20221004003826 MN Practitioner - Diagnostic Radiology 4082680400 Reassigns benefits to 9 organizations
I20240129004073 ND Practitioner - Diagnostic Radiology 4082680400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Vermont College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mankato Clinic LTDGroup PAC ID 5597677955, 243 clinicians
Alice Hyde Medical CenterGroup PAC ID 4082525837, shared by 4 NPIs, 88 clinicians
Olmsted Medical CenterGroup PAC ID 8527970060, 324 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 89 NPIs, 3,844 clinicians
Elizabethtown Community HospitalGroup PAC ID 3577554138, shared by 3 NPIs, 62 clinicians
Consulting Radiologists LTDGroup PAC ID 7719899962, 77 clinicians

Practice addresses (Care Compare)

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

1230 E Main St
Mankato, MN 56001-5066
Phone (507) 389-8509

133 Park St
Malone, NY 12953-1243
Phone (518) 481-2545

1455 Saint Francis Ave
Shakopee, MN 55379-3374
Phone (952) 428-3000

1650 4TH St SE
Rochester, MN 55904-4700
Phone (507) 285-8485

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

South Burlington, VT 05403-7237
Phone (802) 847-0000

75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000

75 Park St
Elizabethtown, NY 12932-2300
Phone (518) 673-6377

7595 Anagram Dr
Eden Prairie, MN 55344-7399
Phone (612) 573-2200

800 E 28TH St
Minneapolis, MN 55407-3723
Phone (612) 863-4762

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabethtown Community Hospital CurrentSince Mar 1, 2024 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Allina Health System CurrentSince Oct 1, 2022 Accepting new patients
St Francis Regional Medical Center CurrentSince Oct 1, 2022 Accepting new patients
Allina Health System CurrentSince Oct 1, 2022 Accepting new patients
Noran Neurological Clinic P.a. CurrentSince Oct 1, 2022 Accepting new patients
Warren Community Hospital, Inc. CurrentSince Aug 31, 2023 Accepting new patients
Allina Health System Current Accepting new patients
Olmsted Medical Center CurrentSince Oct 1, 2022 Accepting new patients
Madelia Health Current Accepting new patients
Porter Hospital, Inc CurrentSince Mar 1, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Olmsted Medical Center CurrentSince Oct 1, 2022 Accepting new patients
Elizabethtown Community Hospital Current Accepting new patients
Champlain Valley Physicians Hospital Medical Center CurrentSince Mar 1, 2024 Accepting new patients
Mankato Clinic LTD Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Alice Hyde Medical Center CurrentSince Mar 1, 2024 Accepting new patients
University of Vermont Medical Center Inc CurrentSince Aug 1, 2016 Accepting new patients
Alice Hyde Medical Center CurrentSince Mar 1, 2024 Accepting new patients
Porter Hospital Inc Current Accepting new patients
St. Francis Regional Medical Center CurrentSince Oct 1, 2022 Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology PastSince Oct 1, 2022 Accepting new patients
Quest Diagnostics LLC Il PastSince Oct 1, 2022 Accepting new patients
Alice Hyde Medical Center Past Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

7595 Anagram Dr
Eden Prairie, MN 55344
Phone (612) 573-2214

6525 France Ave S
Ste 110
Edina, MN 55435
Phone (952) 285-3720

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

121 Drew Ave SE
Madelia, MN 56062
Phone (507) 642-3255

1230 E Main St
Mankato, MN 56001
Phone (507) 389-8502

3601 Minnesota Dr
Ste 200
Minneapolis, MN 55435
Phone (952) 992-5691

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2828 Chicago Ave
Ste 200
Minneapolis, MN 55407
Phone (612) 879-1502

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

400 E 1st St
Morris, MN 56267
Phone (320) 589-1313

210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616

1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485

1455 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2200

300 W Good Samaritan Dr
Warren, MN 56762
Phone (218) 745-4211

969 State Route 11
Moira, NY 12957
Phone (518) 529-7847

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

130 Fisher Rd
Berlin, VT 05602
Phone (802) 225-5820

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

115 Porter Dr
Middlebury, VT 05753
Phone (802) 388-4701

104 Porter Dr
Middlebury, VT 05753
Phone (802) 388-5682

82 Catamount Park
Middlebury, VT 05753
Phone (802) 388-7185

133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
  • Direct secure messaging: rmeyer47318@direct.uvmhealth.org

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1124260138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 FISHER RD",
            "address_2": "CVMC-RADIOLOGY",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029516",
            "telephone_number": "802-371-4250",
            "fax_number": "802-371-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FISHER RD",
            "address_2": "CVMC-RADIOLOGY",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029516",
            "telephone_number": "802-371-4250",
            "fax_number": "802-371-5352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7595 Anagram Dr",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553447399",
            "country_code": "US",
            "telephone_number": "612-573-2200",
            "fax_number": "612-573-2274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "RUSSELL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-06",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VT",
            "license": "042.0013256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, VT

Sources for this page

Verify at the official NPI Registry.