Individual provider Active NPI

Barry S Meyer, DO

  • Internal Medicine Physician
  • Warren, MI
National Provider Identifier
1194706580
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101011427 Issued in MI
Practice address
23423 Ryan Rd
Warren, MI 48091-1927
Phone
(586) 755-5400
Fax
(586) 755-0066
NPI assigned
Nov 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101011427 MI Primary

Addresses

Primary practice location

23423 Ryan Rd
Warren, MI 48091-1927

Mailing address

23423 Ryan Rd
Warren, MI 48091-1927
Phone (586) 755-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050203000407 MI Practitioner - Internal Medicine 0345291613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

23411 Ryan Rd
Warren, MI 48091-1927

23423 Ryan Rd
Warren, MI 48091-1927
Phone (586) 755-5400

Hospital & facility affiliations

  • Beaumont Home Health Home health agency, Troy, MI, CCN 237112

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101011427MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barry S. Meyer,D.O., P.C. Internal Medicine CurrentSince Dec 11, 2007 Accepting new patients

Locations

23423 Ryan Rd
Warren, MI 48091
Phone (586) 755-0022

23411 Ryan Rd
Warren, MI 48091
Phone (586) 755-5400

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1194706580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23423 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480911927",
            "telephone_number": "586-755-5400",
            "fax_number": "586-755-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23423 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480911927",
            "telephone_number": "586-755-5400",
            "fax_number": "586-755-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "BARRY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101011427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.