Individual provider Active NPI

Eduardo Meirelles, M.D., PH.D

  • Neurological Surgery Physician
  • Yakima, WA
National Provider Identifier
1508843970
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD00047704 Issued in WA
Practice address
1110 N. 35TH Ave
Yakima, WA 98902
Phone
(509) 834-7050
Fax
(509) 834-7051
NPI assigned
Dec 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD00047704 WA Primary

Addresses

Primary practice location

1110 N. 35TH Ave
Yakima, WA 98902

Mailing address

1110 N. 35TH Ave
Yakima, WA 98902
Phone (509) 834-7050

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, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MD00047704WAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Hma Physician Management LLC Neurological Surgery Past Accepting new patients
Northwest Spine Surgery, LLC PastSince Jun 1, 2014 Accepting new patients
Yakima Hma LLC PastSince Jun 1, 2009 Accepting new patients
Northwest Medical Center of Yakima, LLC PastSince Aug 6, 2014 Accepting new patients
Northwest Surgery Center Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9185/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1508843970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N. 35TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "98902",
            "telephone_number": "509-834-7050",
            "fax_number": "509-834-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N. 35TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "98902",
            "telephone_number": "509-834-7050",
            "fax_number": "509-834-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEIRELLES",
        "first_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WA",
            "license": "MD00047704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.