Active NPI
Terry Meriden, MD FACP FACN FACE
- Endocrinology, Diabetes & Metabolism Physician
- Peoria, IL
National Provider Identifier
1467538231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 0360586021
- Practice address
- 900 Main Street
Suite 300
Peoria, IL 61602 - Phone
- (309) 673-1717
- Fax
- (309) 673-7221
- NPI assigned
- Oct 27, 2006
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 0360586021 | IL | Primary |
Addresses
Primary practice location
900 Main Street
Suite 300
Peoria, IL 61602
Mailing address
900 Main Street
Suite 300
Peoria, IL 61602
Phone (309) 673-1717
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036058602 | Medicaid | IL | |
| 792111124 | Other | RAILROAD MEDICARE | |
| 9000138 | Other | IL | BCBS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0360586021 | IL | MD | Endocrinology, Diabetes & Metabolism Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363132800000",
"number": "1467538231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 MAIN STREET",
"address_2": "SUITE 300",
"city": "PEORIA",
"state": "IL",
"postal_code": "61602",
"telephone_number": "309-673-1717",
"fax_number": "309-673-7221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 MAIN STREET",
"address_2": "SUITE 300",
"city": "PEORIA",
"state": "IL",
"postal_code": "61602",
"telephone_number": "309-673-1717",
"fax_number": "309-673-7221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERIDEN",
"first_name": "TERRY",
"name_prefix": "Mr.",
"credential": "MD FACP FACN FACE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2013-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "IL",
"license": "0360586021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036058602",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "792111124",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "9000138",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.