Active NPI
Jay M Meythaler, MD JD
- Physical Medicine & Rehabilitation Physician
- Pelham, AL
National Provider Identifier
1346287828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 16224
- Practice address
- 900 Oak Mountain Commons Lane
Pelham, AL 35124 - Phone
- (205) 216-7900
- Fax
- (205) 216-7990
- NPI assigned
- Jun 1, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 4301083153 | MI | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 16224 | AL | Primary |
Addresses
Primary practice location
900 Oak Mountain Commons Lane
Pelham, AL 35124
Mailing address
1811 Catala Rd
Vestavia Hills, AL 35216-1707
Phone (205) 822-5993
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Juris Doctor, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Current | Accepting new patients | |
| University Physician Group | Current | Accepting new patients | |
| Rehabilitation Institute of Michigan | Past | Accepting new patients |
Locations
261 Mack Ave
Detroit, MI 48201
Phone (313) 745-1100
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
1560 E Maple Rd
Ste 400
Troy, MI 48083
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
Interoperability endpoints
- jmeythaler58862@direct.hfhs.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
-
- Optometrist
- Detroit, MI
- NPI 1063452233
-
- Rehabilitation Clinic/Center
- Detroit, MI
- NPI 1982779260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652140800000",
"number": "1346287828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 CATALA RD",
"city": "VESTAVIA HILLS",
"state": "AL",
"postal_code": "352161707",
"telephone_number": "205-822-5993",
"fax_number": "205-216-7990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 OAK MOUNTAIN COMMONS LANE",
"city": "PELHAM",
"state": "AL",
"postal_code": "35124",
"telephone_number": "205-216-7900",
"fax_number": "205-216-7990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYTHALER",
"first_name": "JAY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD JD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2022-05-10",
"certification_date": "2022-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "4301083153",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "AL",
"license": "16224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pelham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.