Individual provider Active NPI

Meir Daller, M.D.

  • Urology Physician
  • Fort Myers, FL
National Provider Identifier
1386656528
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME87876 Issued in FL
Practice address
14320 Metropolis Ave Ste 1
Fort Myers, FL 33912-4539
Phone
(239) 277-5770
Fax
(239) 985-1911
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME87876 FL Primary

Addresses

Primary practice location

14320 Metropolis Ave Ste 1
Fort Myers, FL 33912-4539

Mailing address

14320 Metropolis Ave
Ste 1
Fort Myers, FL 33912-4539
Phone (239) 931-7342

Other identifiers 3

IdentifierTypeStateIssuer
78653OtherFLBCBS OF FL PROVIDER #
7532470OtherFLAETNA PROVIDER #
3789195OtherFLCIGNA PROVIDER #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mel@teamdaller.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME87876FLMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1386656528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14320 METROPOLIS AVE",
            "address_2": "STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124539",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14320 METROPOLIS AVE STE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124539",
            "telephone_number": "239-277-5770",
            "fax_number": "239-985-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLER",
        "first_name": "MEIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME87876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL PROVIDER #",
            "identifier": "78653",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "7532470",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER #",
            "identifier": "3789195",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mel@teamdaller.com",
            "affiliation": "N",
            "endpointDescription": "practice administrator email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "All communications",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "All communications",
            "address_1": "14320 Metropolis Ave Ste 1",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339124539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.