NPIMap

Individual provider Active NPI

Michael Meng

  • Family Medicine Physician
  • Pendleton, IN
National Provider Identifier
1437424686
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01074827A Issued in IN
Practice address
75 Village Dr
Pendleton, IN 46064-8960
Phone
(765) 778-0913
NPI assigned
Mar 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11016716A IN
Family Medicine Physician 207Q00000X 01074827A IN Primary

Addresses

Primary practice location

75 Village Dr
Pendleton, IN 46064-8960

Mailing address

75 Village Dr
Pendleton, IN 46064-8960

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.meng.2@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150619000868 IN Practitioner - Family Practice 7214160290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

75 Village Dr
Pendleton, IN 46064-8960
Phone (765) 778-0913

Hospital & facility affiliations

  • Ascension at Home Home health agency, Pendleton, IN, CCN 157059
  • Ascension St Vincent Anderson Hospital, Anderson, IN, CCN 150088
  • Community Hospital of Anderson and Madison County Hospital, Anderson, IN, CCN 150113
  • Ascension St Vincent Fishers Hospital, Fishers, IN, CCN 150181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01074827AINMDFamily Medicine Physician
11016716AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. Family Medicine Current Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Aug 3, 2015 Accepting new patients
St Vincent Medical Group Inc Past Accepting new patients

Locations

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

75 Village Dr
Pendleton, IN 46064
Phone (765) 683-3165

Organizations & group practices 6

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 4

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": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1437424686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 VILLAGE DR",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460648960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 VILLAGE DR",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460648960",
            "telephone_number": "765-778-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENG",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-20",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "11016716A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01074827A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.meng.2@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "75 Village Dr",
            "city": "Pendleton",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460648960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pendleton, IN

Sources for this page

Verify at the official NPI Registry.