Active NPI
Douglas J Meek, MD
- Diagnostic Radiology Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 20020263
- Practice address
- 4411 The 25 Way NE
Suite 150
Albuquerque, NM 87109-5857 - Phone
- (505) 332-5800
- Fax
- (505) 332-6921
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 36113010 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | 2005004442 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | 20020263 | NM | Primary |
Addresses
Primary practice location
4411 The 25 Way NE
Suite 150
Albuquerque, NM 87109-5857
Mailing address
4411 The 25 Way NE
Suite 150
Albuquerque, NM 87109-5857
Phone (505) 332-5800
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45138 | Medicaid | NM | |
| 76487563 | Medicaid | NM | |
| 52713 | Medicaid | NM | |
| 52752216 | Medicaid | NM | |
| L0634 | Medicaid | NM | |
| 600521002 | Other | NM | MEDICARE IDTF |
| 700521102 | Other | NM | MEDICARE GROUP |
| 800521126 | Other | NJ | MEDICARE IDTF |
| 2258272 | Other | NM | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, UT, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1380 E Medical Ctr Dr
St George, UT 84790-2123
Phone (435) 251-1000
8301 Mendocino Dr NE
Albuquerque, NM 87122-2662
Phone (800) 841-4236
Hospital & facility affiliations
- Intermountain Medical Center
- St. George Regional Hospital
- Intermountain Health McKay-Dee Hospital
- Presbyterian Hospital
- Intermountain Health Logan Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.28 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 77.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36113010 | IL | MD | Diagnostic Radiology Physician |
| 2005004442 | MO | MD | Diagnostic Radiology Physician |
| 20020263 | NM | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tellica Imaging - Washington LLC | Diagnostic Radiology | Current | Accepting new patients |
| Advanced Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Tellica Imaging, LLC | Current | Accepting new patients | |
| Tellica Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Tellica Imaging - Washington LLC | Diagnostic Radiology | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Tellica Imaging, LLC | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Tellica Imaging, LLC | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Tellica Imaging, LLC | Current | Accepting new patients | |
| Radiology Consultants of Mid-America, PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
2400 Unser Blvd SE
Ste 29200
Albuquerque, NM 87124
4411 The 25 Way NE
Ste 150
Albuquerque, NM 87109
Phone (505) 332-5800
1887 Whitney Mesa Dr
Henderson, NV 89014
Phone (702) 819-0368
5217 S State St
Ste 200
Salt Lake City, UT 84107
Phone (208) 417-5100
5217 S State St
Salt Lake City, UT 84107
Phone (801) 313-4110
36 S Street St
Ste 2200
Salt Lake Cty, UT 84111
Phone (385) 622-0669
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
421 E Main St
Auburn, WA 98002
Phone (253) 204-2530
2941 S 38th St
Ste E
Tacoma, WA 98409
Phone (253) 534-8689
Organizations & group practices 14
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.
-
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629260880
-
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1881666998
-
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1558416974
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1346093150
Diagnostic Radiology
-
- Multi-Specialty Clinic/Center
- American Fork, UT
- NPI 1669420014
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Physiological Laboratory
- Cedar City, UT
- NPI 1538841747
-
- Radiology Clinic/Center
- Auburn, WA
- NPI 1215887401
Diagnostic Radiology
-
- Physiological Laboratory
- Ogden, UT
- NPI 1144802802
-
- Physiological Laboratory
- West Valley City, UT
- NPI 1407438039
-
- Physiological Laboratory
- Spanish Fork, UT
- NPI 1518727734
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
-
- General Acute Care Hospital
- Ogden, UT
- NPI 1194749580
-
- General Acute Care Hospital
- Logan, UT
- NPI 1831108497
-
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
-
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1336192970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4411 THE 25 WAY NE",
"address_2": "SUITE 150",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871095857",
"telephone_number": "505-332-5800",
"fax_number": "505-332-6921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 THE 25 WAY NE",
"address_2": "SUITE 150",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871095857",
"telephone_number": "505-332-5800",
"fax_number": "505-332-6921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEEK",
"first_name": "DOUGLAS",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "36113010",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2005004442",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NM",
"license": "20020263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "45138",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "76487563",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "52713",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "52752216",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "L0634",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE IDTF",
"identifier": "600521002",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "700521102",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE IDTF",
"identifier": "800521126",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "2258272",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.