Individual provider Active NPI

Mark Jeffery Meuer, MD

  • Pediatrics Physician
  • Bethesda, MD
National Provider Identifier
1295120608
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
6698320 Issued in WI
Practice address
4494 N Palmer Rd
Bethesda, MD 20889-8273
Phone
(805) 865-6648
NPI assigned
Apr 2, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 6698320 WI Primary

Addresses

Primary practice location

4494 N Palmer Rd
Bethesda, MD 20889-8273

Mailing address

Brooke Army Medical Center 3551 Roger Brooke Dr
Jbsa Fort Sam Houston, TX 78234-4504

Other practice location 1

338 S Dakota Ave
Vandenberg AFB, CA 93437
Phone (805) 606-2273

Other practice location 2

Brooke Army Medical Center 3551 Roger Brooke Dr
JBSA Fort Sam Houston, TX 78234-4504
Phone (805) 865-6648

Other practice location 3

280 1st St
Holloman AFB, NM 88330-8273
Phone (575) 572-5064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20241212000664 WI Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1355877408

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6698320WIMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1295120608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BROOKE ARMY MEDICAL CENTER 3551 ROGER BROOKE DR",
            "city": "JBSA FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4494 N PALMER RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208898273",
            "telephone_number": "805-865-6648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "338 S Dakota Ave",
            "address_purpose": "LOCATION",
            "city": "Vandenberg AFB",
            "state": "CA",
            "postal_code": "93437",
            "country_code": "US",
            "telephone_number": "805-606-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Brooke Army Medical Center 3551 Roger Brooke Dr",
            "address_purpose": "LOCATION",
            "city": "JBSA Fort Sam Houston",
            "state": "TX",
            "postal_code": "782344504",
            "country_code": "US",
            "telephone_number": "805-865-6648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "280 1st St",
            "address_purpose": "LOCATION",
            "city": "Holloman AFB",
            "state": "NM",
            "postal_code": "883308273",
            "country_code": "US",
            "telephone_number": "575-572-5064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEUER",
        "first_name": "MARK",
        "middle_name": "JEFFERY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "6698320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.