Individual provider Active NPI

Michele Metree Meredith, MD

  • Family Medicine Physician
  • Blue Bell, PA
National Provider Identifier
1184087835
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD467589 Issued in PA
Practice address
721 Skippack Pike Ste 3
Blue Bell, PA 19422
Phone
(484) 622-6700
NPI assigned
Mar 31, 2016
Last updated
Jul 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD467589 PA Primary

Addresses

Primary practice location

721 Skippack Pike Ste 3
Blue Bell, PA 19422

Mailing address

721 Skippack Pike Ste 3
Blue Bell, PA 19422-1700
Phone (484) 622-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190816000726 PA Practitioner - Family Practice 0042588873 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Milton S Hershey Medical Center Physicians Group Family Medicine CurrentSince Jan 2, 2023 Accepting new patients
Washington Physician Services Family Medicine CurrentSince Jul 22, 2024 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Jan 2, 2023 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Fornance Physician Services, Inc Past Accepting new patients

Locations

1 Continental Dr
Elizabethtown, PA 17022
Phone (717) 361-0666

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1184087835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 SKIPPACK PIKE STE 3",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221700",
            "telephone_number": "484-622-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 SKIPPACK PIKE STE 3",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "19422",
            "telephone_number": "484-622-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "MICHELE",
        "middle_name": "METREE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD467589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

Verify at the official NPI Registry.