Individual provider Active NPI

Paul Joseph Meissner Jr., DPM

  • Podiatrist
  • Cockeysville, MD
National Provider Identifier
1417947953
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00556 Issued in MD
Practice address
10400 Ridgland Rd
Suite 3
Cockeysville, MD 21030-2715
Phone
(410) 666-3338
Fax
(410) 666-3877
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00556 MD Primary

Addresses

Primary practice location

10400 Ridgland Rd
Suite 3
Cockeysville, MD 21030-2715

Mailing address

10400 Ridgland Rd
Cockeysville, MD 21030-2715
Phone (410) 666-3338

Other identifiers 1

IdentifierTypeStateIssuer
6531770001OtherMDPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081010000179 MD Practitioner - Podiatry 4486727492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

1818 Pot Spring Rd
Suite 110
Lutherville, MD 21093-4450
Phone (410) 666-3338

Merit-based Incentive Payment System (MIPS)

Final score
50 of 100Reported as individual
Quality
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue13
Removal of skin lesions1-10
Removal of nail tissue371
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paul J Meissner Jr DPM PA CurrentSince Nov 1, 2016 Accepting new patients

Locations

1818 Pot Spring Rd
Ste 110
Timonium, MD 21093
Phone (410) 560-0333

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1417947953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 RIDGLAND RD",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302715",
            "telephone_number": "410-666-3338",
            "fax_number": "410-666-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 RIDGLAND RD",
            "address_2": "SUITE 3",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302715",
            "telephone_number": "410-666-3338",
            "fax_number": "410-666-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEISSNER",
        "first_name": "PAUL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "00556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "6531770001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

Verify at the official NPI Registry.