Individual provider Active NPI

Eduardo Meza, MD

  • Psychiatry Physician
  • Exton, PA
National Provider Identifier
1487729422
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
TMD004826 Issued in PA
Practice address
835 Springdale Dr
Exton, PA 19341-2841
Phone
(610) 363-1488
Fax
(484) 713-1030
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 66538 WI
Psychiatry Physician 2084P0800X 0101266757 VA
Child & Adolescent Psychiatry Physician 2084P0804X 0101266757 VA
Child & Adolescent Psychiatry Physician 2084P0804X 66538 WI
Child & Adolescent Psychiatry Physician 2084P0804X 5092 SD
Psychiatry Physician 2084P0800X TMD004826 PA Primary

Addresses

Primary practice location

835 Springdale Dr
Exton, PA 19341-2841

Mailing address

856 J Clyde Morris Blvd
Ste a
Newport News, VA 23601-1318
Phone (757) 316-5800

Other identifiers 7

IdentifierTypeStateIssuer
7101790MedicaidSD
4995887OtherSDBCBS
241532OtherSDMIDLANDS CHOICE
12788MedicaidND
340071040211OtherSDPREFERRED ONE
5092OtherSDDAKOTACARE
HP40329OtherSDHEALTH PARTNERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, DC, PA, CT4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180620001660 NM Practitioner - Psychiatry 3072505361 Reassigns benefits to 1 organization
I20191203001953 DC Practitioner - Psychiatry 3072505361 Reassigns benefits to 1 organization
I20201027000069 PA Practitioner - Psychiatry 3072505361 Reassigns benefits to 1 organization
I20240417004146 CT Practitioner - Psychiatry 3072505361 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The William W Backus HospitalGroup PAC ID 0749170645, 248 clinicians

Practice addresses (Care Compare)

326 Washington St
Norwich, CT 06360-2740
Phone (860) 889-8331

Hospital & facility affiliations

  • William W Backus Hospital Hospital, Norwich, CT, CCN 070024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TMD004826PAMDPsychiatry Physician
66538WIMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Bridges Psychiatry CurrentSince Oct 21, 2020 Accepting new patients
Inova Health Care Services CurrentSince Oct 28, 2019 Accepting new patients
Natchaug Hospital, Inc. CurrentSince Apr 29, 2024 Accepting new patients
Windham Community Memorial Hospital, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Inova Health Care Services Psychiatry CurrentSince Oct 28, 2019 Accepting new patients
The William W Backus Hospital CurrentSince Sep 1, 2024 Accepting new patients
William W Backus Hospital CurrentSince Sep 1, 2024 Accepting new patients

Locations

189 Storrs Rd
Mansfield Ctr, CT 06250
Phone (860) 456-1311

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410

378 W Chestnut St
Ste 205
Washington, PA 15301
Phone (724) 225-6940

8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525

Interoperability endpoints

  • Direct secure messaging: eduardo.meza@avera.sdhealthlink.net
  • Direct secure messaging: emeza170605@direct.tmfhs.org
  • Direct secure messaging: eduardo.meza@xdr.hhchealthdirect.org

Organizations & group practices 8

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 3

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1487729422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-316-5800",
            "fax_number": "757-534-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 SPRINGDALE DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412841",
            "telephone_number": "610-363-1488",
            "fax_number": "484-713-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZA",
        "first_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "66538",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101266757",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "0101266757",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WI",
            "license": "66538",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "SD",
            "license": "5092",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "TMD004826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101790",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4995887",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "241532",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12788",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "340071040211",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "5092",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP40329",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.