Active NPI
Benjamin H Meyer, M.D.
- Cardiovascular Disease Physician
- Ukiah, CA
National Provider Identifier
1447235254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G88684
- Practice address
- 115 Hospital Dr
Ukiah, CA 95482-4591 - Phone
- (707) 463-2400
- Fax
- (707) 463-3520
- NPI assigned
- Dec 14, 2005
- Last updated
- Apr 13, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G88684 | CA | Primary |
Addresses
Primary practice location
115 Hospital Dr
Ukiah, CA 95482-4591
Mailing address
260 Hospital Dr
Suite 110
Ukiah, CA 95482-4568
Phone (707) 463-7425
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 341941000 | Medicaid | MD | |
| P00853330 | Other | CA | RAILROAD MEDICARE |
| 1447235254 | Medicaid | CA | |
| 00G886840 | Other | CA | BLUE SHIELD |
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
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88684 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Cardiology Associates, P.a. | Cardiovascular Disease | Current | Accepting new patients |
| Atlantic General Hospital Corporation | Past | Accepting new patients |
Locations
1209 Coastal Hwy
Fenwick Island, DE 19944
Phone (302) 539-2399
400 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 543-2255
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Salisbury, MD
- NPI 1902809858
-
dba Atlantic General Health System
- Family Medicine Physician
- Berlin, MD
- NPI 1871582171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492041600000",
"number": "1447235254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 HOSPITAL DR",
"address_2": "SUITE 110",
"city": "UKIAH",
"state": "CA",
"postal_code": "954824568",
"telephone_number": "707-463-7425",
"fax_number": "707-462-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 HOSPITAL DR",
"city": "UKIAH",
"state": "CA",
"postal_code": "954824591",
"telephone_number": "707-463-2400",
"fax_number": "707-463-3520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "BENJAMIN",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2017-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G88684",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "341941000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00853330",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447235254",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G886840",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.