Individual provider Active NPI

Mark Gary Meehlhause, M.D.

  • Family Medicine Physician
  • Frisco, TX
National Provider Identifier
1215968417
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L3749 Issued in TX
Practice address
3535 Victory Group Way Ste 330
Frisco, TX 75034-0310
Phone
(972) 993-5070
Fax
(972) 993-5071
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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 L3749 TX Primary

Addresses

Primary practice location

3535 Victory Group Way Ste 330
Frisco, TX 75034-0310

Mailing address

3535 Victory Group Way Ste 330
Frisco, TX 75034-0310
Phone (972) 993-5070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100608000629 TX Practitioner - Family Practice 6103956701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abksw Preferred Health Partners, PLLCGroup PAC ID 2961710892, 48 clinicians

Practice addresses (Care Compare)

3535 Victory Group Way
Suite 330
Frisco, TX 75034-0310
Phone (214) 823-4800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Abksw Preferred Health Partners, PLLC CurrentSince Sep 30, 2019 Accepting new patients
Abksw Preferred Health Specialty Partners PLLC Current Accepting new patients

Locations

3417 Gaston Ave
Ste 700
Dallas, TX 75246
Phone (214) 823-4800

3535 Victory Group Way
Ste 330
Frisco, TX 75034
Phone (214) 823-4800

440 W Lyndon B Johnson Fwy
Ste 405
Irving, TX 75063
Phone (214) 823-4800

Interoperability endpoints

  • Direct secure messaging: mark.meehlhause@ntphp.eclinicaldirectplus.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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1215968417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 VICTORY GROUP WAY STE 330",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340310",
            "telephone_number": "972-993-5070",
            "fax_number": "972-993-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 VICTORY GROUP WAY STE 330",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340310",
            "telephone_number": "972-993-5070",
            "fax_number": "972-993-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEHLHAUSE",
        "first_name": "MARK",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L3749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.