Individual provider Active NPI

Daniel B Meyer, M.D.

  • Nephrology Physician
  • Grand Rapids, MI
National Provider Identifier
1427412832
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301504071 Issued in MI
Practice address
330 E Beltline Ave NE Ste 100
Grand Rapids, MI 49506-1267
Phone
(616) 752-6235
Fax
(616) 752-6324
NPI assigned
Apr 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X 4301504071 MI Primary

Addresses

Primary practice location

330 E Beltline Ave NE Ste 100
Grand Rapids, MI 49506-1267

Mailing address

8701 Watertown Plank Road
Milwaukee, WI 53226

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address daniel.meyer@rawm.eclinicaldirectplus.com

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
I20210721003436 MI Practitioner - NephrologyPractitioner - Internal Medicine 7719238872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Michigan State University College of Human Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renal Associates of West Michigan PCGroup PAC ID 2466348644, 20 clinicians

Practice addresses (Care Compare)

330 E Beltline Ave NE
Suite 100
Grand Rapids, MI 49506-1267
Phone (616) 752-6235

Hospital & facility affiliations

  • DaVita PDI-Grand Rapids Dialysis facility, Grand Rapids, MI, CCN 232565
  • FMC - Kentwood Dialysis facility, Grand Rapids, MI, CCN 232703
  • DaVita Beltline Home Training Dialysis facility, Grand Rapids, MI, CCN 232693
  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038
  • Mercy Health Saint Mary'S Hospital, Grand Rapids, MI, CCN 230059
  • University of Michigan Health - West Hospital, Wyoming, MI, CCN 230236
  • Holland Hospital Hospital, Holland, MI, CCN 230072
  • Corewell Health Gerber Hospital Hospital, Fremont, MI, CCN 231338

Merit-based Incentive Payment System (MIPS)

Final score
25.26 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
84.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301504071MIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Associates of West Michigan PC Nephrology CurrentSince Sep 1, 2021 Accepting new patients
Rai Care Centers of Holland, LLC PastSince Sep 1, 2021 Accepting new patients

Locations

330 E Beltline Ave NE
Ste 100
Grand Rapids, MI 49506
Phone (616) 752-6235

649 Hastings Ave
Holland, MI 49423
Phone (616) 392-3263

Interoperability endpoints

  • Direct secure messaging: dmeyer105970@direct.covenanthealthcare.com
  • Direct secure messaging: dmeyer1299270@direct.trinity-health.org
  • Direct secure messaging: dmeyer35971@direct.acumenmd.com

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1427412832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 WATERTOWN PLANK ROAD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E BELTLINE AVE NE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061267",
            "telephone_number": "616-752-6235",
            "fax_number": "616-752-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "DANIEL",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-12",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301504071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daniel.meyer@rawm.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "330 E Beltline Ave NE Ste 100",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495061267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.