Individual provider Active NPI

Melissa L Meyer, MD

  • Pediatrics Physician
  • Plattsburgh, NY
National Provider Identifier
1407811482
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
199635-1 Issued in NY
Practice address
159 Margaret St
Suite 103
Plattsburgh, NY 12901-1874
Phone
(518) 562-0151
Fax
(518) 562-2718
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 199635-1 NY Primary

Addresses

Primary practice location

159 Margaret St
Suite 103
Plattsburgh, NY 12901-1874

Mailing address

600 Blair Park Rd Ste 285
Williston, VT 05495-7586
Phone (802) 288-1140

Other identifiers 1

IdentifierTypeStateIssuer
01585735MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drmeyer@pchpmd.medentdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090316000523 NY Practitioner - Pediatric Medicine 1456441906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Cincinnati College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Health Partners - New York LLPGroup PAC ID 5890682231, 2 clinicians

Practice addresses (Care Compare)

159 Margaret St
Suite 103
Plattsburgh, NY 12901-1874
Phone (518) 562-0151

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
199635-1NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Health Partners - Vermont LLP Pediatrics CurrentSince Jul 2, 2023 Accepting new patients
Primary Care Health Partners - New York LLP Pediatrics CurrentSince Apr 7, 2010 Accepting new patients

Locations

159 Margaret St
Ste 103
Plattsburgh, NY 12901
Phone (518) 562-0151

600 Blair Park Rd
Ste 285
Williston, VT 05495
Phone (802) 288-1140

66 Knight Ln
Ste 10
Williston, VT 05495
Phone (802) 872-4327

Organizations & group practices 2

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1407811482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BLAIR PARK RD STE 285",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957586",
            "telephone_number": "802-288-1140",
            "fax_number": "802-288-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 MARGARET ST",
            "address_2": "SUITE 103",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011874",
            "telephone_number": "518-562-0151",
            "fax_number": "518-562-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "MELISSA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "199635-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01585735",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drmeyer@pchpmd.medentdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "159 Margaret St",
            "address_2": "Suite 103",
            "city": "Plattsburgh",
            "state": "NY",
            "country_code": "US",
            "postal_code": "129011874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.