Active NPI
Jonathan Meyer, M.D.
- Interventional Cardiology Physician
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 01089785A
- Practice address
- 9104 Columbia Ave
Munster, IN 46321-2907 - Phone
- (219) 836-4473
- Fax
- (219) 703-6566
- NPI assigned
- Apr 22, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036146463 | IL | |
| Internal Medicine Physician | 207R00000X | 036146463 | IL | |
| Interventional Cardiology Physician | 207RI0011X | 01089785A | IN | Primary |
Addresses
Primary practice location
9104 Columbia Ave
Munster, IN 46321-2907
Mailing address
8558 Broadway
Merrillville, IN 46410-7032
Phone (219) 392-7084
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300073859 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9104 Columbia Ave
Munster, IN 46321-2907
Phone (219) 836-4473
Hospital & facility affiliations
- Community Hospital
- St Catherine Hospital Inc
- St Mary Medical Center Inc
- Franciscan Health Crown Point
- Powers Health Rehabilitation Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 85 |
| Pacemaker insertion or repair | 1-10 |
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01089785A | IN | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Network Inc | Single Specialty | Current | Accepting new patients |
Locations
1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000
8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084
9038 Columbia Ave
Ste B
Munster, IN 46321
Phone (219) 836-5758
9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166
931 Fran Lin Pkwy
Munster, IN 46321
Phone (219) 513-0107
9104 Columbia Ave
Munster, IN 46321
Phone (219) 836-4473
505 W US Highway 30
Schererville, IN 46375
Phone (219) 322-3311
Interoperability endpoints
- jmeyer142786@ssdirect.comhs.org
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.
-
dba Powers Health Medical Group
- Family Medicine Physician
- Saint John, IN
- NPI 1457610487
Single Specialty
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Powers Health Rehabilitation Center
- Rehabilitation Hospital
- Crown Point, IN
- NPI 1801301437
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1336205798
-
dba Community Hospital
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- General Acute Care Hospital
- East Chicago, IN
- NPI 1689776882
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
dba St Mary Wound Clinic
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689379200000",
"number": "1285021758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8558 BROADWAY",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464107032",
"telephone_number": "219-392-7084",
"fax_number": "219-703-6854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9104 COLUMBIA AVE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212907",
"telephone_number": "219-836-4473",
"fax_number": "219-703-6566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "JONATHAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-22",
"last_updated": "2023-07-15",
"certification_date": "2023-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IL",
"license": "036146463",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": "036146463",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IN",
"license": "01089785A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300073859",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2023; 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.