Active NPI
Mark Jeffery Meuer, MD
- Pediatrics Physician
- Bethesda, MD
National Provider Identifier
1295120608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 6698320
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241212000664 | WI | Order and Referring Only - Pediatric Medicine | 1355877408 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6698320 | WI | MD | Pediatrics 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.