Individual provider Active NPI

Arnold B Meshkov, MD

  • Interventional Cardiology Physician
  • Rydal, PA
National Provider Identifier
1447248323
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD018369E Issued in PA
Practice address
1077 Rydal Road
Suite 307
Rydal, PA 19046-1712
Phone
(215) 920-0815
Fax
(484) 489-2732
NPI assigned
Oct 13, 2005
Last updated
May 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MD018369E PA Primary

Addresses

Primary practice location

1077 Rydal Road
Suite 307
Rydal, PA 19046-1712

Mailing address

1077 Rydal Road
Suite 307
Rydal, PA 19046-1712
Phone (215) 920-0815

Other identifiers 1

IdentifierTypeStateIssuer
0008571050007MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20031211000850 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6800792540 Practice locations: Rydal, PA

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1447248323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 RYDAL ROAD",
            "address_2": "SUITE 307",
            "city": "RYDAL",
            "state": "PA",
            "postal_code": "190461712",
            "telephone_number": "215-920-0815",
            "fax_number": "484-489-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 RYDAL ROAD",
            "address_2": "SUITE 307",
            "city": "RYDAL",
            "state": "PA",
            "postal_code": "190461712",
            "telephone_number": "215-920-0815",
            "fax_number": "484-489-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESHKOV",
        "first_name": "ARNOLD",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD018369E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008571050007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rydal, PA

Sources for this page

Verify at the official NPI Registry.