Meridian Pediatrics LLC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

MERIDIAN PEDIATRICS LLC

Practice address

12065 Old Meridian St Ste 100
Carmel, IN 46032-8774

Phone

(317) 844-5351

Fax

(317) 805-0380

NPI assigned

Apr 27, 2022

Last updated

Apr 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie A Bergstein, MDNPI 1952492373

Title

Owner

Phone

(317) 844-5351

Specialties & licenses 1

Addresses

Other identifiers 7

Electronic endpoints 1

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Ann Bergstein, MD

  • Pediatrics Physician
  • Carmel, IN
  • NPI 1952492373
  NPD (past) Authorized official
• C Keith Chitty, MD

  • Pediatrics Physician
  • Carmel, IN
  • NPI 1609983196
  NPD (past)
• James George Cumming, D.O.

  • Pediatrics Physician
  • Carmel, IN
  • NPI 1295703056
  NPD (past)
• Abigail A Haste, M.D.

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1447519848
  NPD (past)
• Sarah L. Hill Schaffer, MD

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1366475824
  NPD (past)
• Leah C Martinson, MD

  • General Practice Physician
  • Carmel, IN
  • NPI 1275738106
  NPD (past)
• Jill Suzanne Mazurek, M.D.

  • Pediatrics Physician
  • Carmel, IN
  • NPI 1972678852
  NPD (past)
• Scott Varnes Riddell, M.D.

  • Pediatrics Physician
  • Carmel, IN
  • NPI 1659413094
  NPD (past)
• Jonathan David Salisbury, MD

  • Pediatrics Physician
  • Indianapolis, IN
  • NPI 1124319389
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1376287029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12065 OLD MERIDIAN ST STE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328774",
            "telephone_number": "317-844-5351",
            "fax_number": "317-805-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12065 OLD MERIDIAN ST STE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328774",
            "telephone_number": "317-844-5351",
            "fax_number": "317-805-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "BERGSTEIN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-844-5351",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659413094",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1609983196",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275738106",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295703056",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366475824",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1952492373",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972678852",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@meridianpediatrics.net",
            "affiliation": "N",
            "endpointDescription": "SECURE EMAIL",
            "address_1": "12065 Old Meridian St Ste 100",
            "city": "Carmel",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460328774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meridian Health Group
• Meridian North Imaging Center LLC
• Meridian Orothpedics, P.C.
• Meridian Orthopedics, PC
• Meridian Pediatrics
• Meridian Surgical Group, Inc
• Jeffrey Merwin
• Aadam Ismail Merzoug
• Mohamed Merzoug
• George Mesalam, RPH

• Pediatric Adolescent Medicine Physician in Carmel, IN
• Providers in Carmel, IN by specialty
• Pediatric Adolescent Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.