Active NPI
Daniel Meng, M.D.
- Cardiovascular Disease Physician
- South Bend, IN
National Provider Identifier
1134126402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 01041131A
- Practice address
- 610 N Michigan St Ste 400
South Bend, IN 46601-1081 - Phone
- (574) 647-8120
- Fax
- (574) 647-8111
- NPI assigned
- Jul 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 01041131A | IN | |
| Cardiovascular Disease Physician | 207RC0000X | 01041131A | IN | Primary |
Addresses
Primary practice location
610 N Michigan St Ste 400
South Bend, IN 46601-1081
Mailing address
3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-2129
Other practice location 1
3220 Beacon Pkwy Ste 200
Granger, IN 46530-7196
Phone (574) 647-8788
Other practice location 2
1020 High Rd
Bremen, IN 46506-1093
Phone (574) 309-9967
Other practice location 3
610 N Michigan St Ste 306
South Bend, IN 46601-1079
Phone (574) 647-6500
Other practice location 4
900 I St
La Porte, IN 46350-5533
Phone (219) 324-1700
Other practice location 5
1400 E 9th St
Rochester, IN 46975-8931
Phone (574) 309-9965
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dmeng@mybeacon.cernerdirect.com |
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
Interoperability endpoints
- danielmeng@beacon.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1134126402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3245 HEALTH DR STE 100",
"city": "GRANGER",
"state": "IN",
"postal_code": "465301380",
"telephone_number": "574-647-2129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 N MICHIGAN ST STE 400",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466011081",
"telephone_number": "574-647-8120",
"fax_number": "574-647-8111"
}
],
"practiceLocations": [
{
"address_1": "3220 Beacon Pkwy Ste 200",
"address_purpose": "LOCATION",
"city": "Granger",
"state": "IN",
"postal_code": "465307196",
"country_code": "US",
"telephone_number": "574-647-8788",
"fax_number": "574-647-3321",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1020 High Rd",
"address_purpose": "LOCATION",
"city": "Bremen",
"state": "IN",
"postal_code": "465061093",
"country_code": "US",
"telephone_number": "574-309-9967",
"fax_number": "574-309-9968",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "610 N Michigan St Ste 306",
"address_purpose": "LOCATION",
"city": "South Bend",
"state": "IN",
"postal_code": "466011079",
"country_code": "US",
"telephone_number": "574-647-6500",
"fax_number": "574-647-6518",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 I St",
"address_purpose": "LOCATION",
"city": "La Porte",
"state": "IN",
"postal_code": "463505533",
"country_code": "US",
"telephone_number": "219-324-1700",
"fax_number": "219-324-1602",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 E 9th St",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "IN",
"postal_code": "469758931",
"country_code": "US",
"telephone_number": "574-309-9965",
"fax_number": "574-309-9966",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENG",
"first_name": "DANIEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-01",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IN",
"license": "01041131A",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01041131A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dmeng@mybeacon.cernerdirect.com",
"affiliation": "N",
"address_1": "610 N Michigan St",
"address_2": "Ste 400",
"city": "South Bend",
"state": "IN",
"country_code": "US",
"postal_code": "466011077",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.