Individual provider Active NPI

Angela V Meikle, MD

  • Gynecology Physician
  • Richmond Hill, NY
National Provider Identifier
1306920608
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
221182 Issued in NY
Practice address
12108 Hillside Ave
Richmond Hill, NY 11418-1812
Phone
(718) 924-2240
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 221182 NY Primary

Addresses

Primary practice location

12108 Hillside Ave
Richmond Hill, NY 11418-1812

Mailing address

12108 Hillside Ave
Richmond Hill, NY 11418-1812
Phone (718) 924-2240

Other identifiers 1

IdentifierTypeStateIssuer
02749411MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100825000236 NY Practitioner - Obstetrics/Gynecology 8022132232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Medical Care PCGroup PAC ID 4385534965, 5 clinicians

Practice addresses (Care Compare)

12108 Hillside Ave
Richmond Hill, NY 11418-1812
Phone (718) 850-1673

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
221182NYMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Physical Therapy Services PC Past Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1306920608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12108 HILLSIDE AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181812",
            "telephone_number": "718-924-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12108 HILLSIDE AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181812",
            "telephone_number": "718-924-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEIKLE",
        "first_name": "ANGELA",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "221182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02749411",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

Verify at the official NPI Registry.