Individual provider Active NPI

Jay M Meythaler, MD JD

  • Physical Medicine & Rehabilitation Physician
  • Pelham, AL
National Provider Identifier
1346287828
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
16224 Issued in AL
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

Updated by the provider on May 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040723001121 MI Practitioner - Physical Medicine and Rehabilitation 5294715777 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Group CurrentSince Oct 1, 2006 Accepting new patients
University Physician Group CurrentSince Oct 1, 2006 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.