Active NPI
Carl Elwood Meredith, MD
- Family Medicine Physician
- Louisville, CO
National Provider Identifier
1154645968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR50816
- Practice address
- 1044 S 88TH St
Suite 200
Louisville, CO 80027-9417 - Phone
- (303) 666-7119
- NPI assigned
- Mar 23, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DR50816 | CO | Primary |
Addresses
Primary practice location
1044 S 88TH St
Suite 200
Louisville, CO 80027-9417
Mailing address
1044 S 88TH St
Suite 200
Louisville, CO 80027-9417
Phone (303) 666-7119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Colorado School of Medicine, Denver, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1044 S 88TH St
Suite 200
Louisville, CO 80027-9445
Phone (303) 666-7119
Hospital & facility affiliations
- Adventhealth Avista
- Boulder Community Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR50816 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coal Creek Family Medicine LLC | Family Medicine | Current | Accepting new patients |
| Coal Creek Family Medicine | Family Medicine | Current | Accepting new patients |
Locations
1044 S 88th St
Ste 200
Louisville, CO 80027
Phone (303) 666-7119
Interoperability endpoints
- carl.meredith.p5@direct.ipn.nextgenshare.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Louisville, CO
- NPI 1194697458
Hospital & facility affiliations 43
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Boulder, CO
- NPI 1093357907
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390780800000",
"number": "1154645968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1044 S 88TH ST",
"address_2": "SUITE 200",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800279417",
"telephone_number": "303-666-7119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 S 88TH ST",
"address_2": "SUITE 200",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800279417",
"telephone_number": "303-666-7119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEREDITH",
"first_name": "CARL",
"middle_name": "ELWOOD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-23",
"last_updated": "2014-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR50816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.