NPIMap

Individual provider Active NPI

Meyyappan Palaniappan, MD

  • Family Medicine Physician
  • Doniphan, MO
National Provider Identifier
1508925553
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
114784 Issued in MO
Practice address
109 Plum St
Doniphan, MO 63935-1277
Phone
(573) 996-2141
Fax
(573) 996-3949
NPI assigned
Dec 6, 2006
Last updated
Oct 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 114784 MO Primary

Addresses

Primary practice location

109 Plum St
Doniphan, MO 63935-1277

Mailing address

39 Oxen Pasture Rd
Doniphan, MO 63935-9453

Other identifiers 1

IdentifierTypeStateIssuer
209990027MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100913000131 MO Practitioner - Internal MedicinePractitioner - Family Practice 7719002948 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Big Springs Medical Association Current Accepting new patients
Big Springs Medical Association CurrentSince Mar 15, 2020 Accepting new patients
Southeast Health Center of Stoddard County, LLC Family Medicine CurrentSince Mar 2, 2019 Accepting new patients
Southeast Health Center of Stoddard County LLC Family Medicine CurrentSince Mar 2, 2019 Accepting new patients
Southeast Health Center of Stoddard County, LLC Family Medicine Current Accepting new patients
Big Springs Medical Association CurrentSince Mar 15, 2020 Accepting new patients
Southeast Health Center of Ripley County Past Accepting new patients
Southeast Health Center of Ripley County Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

1200 N One Mile Rd
Dexter, MO 63841
Phone (573) 614-1900

109 Leroux St
Doniphan, MO 63935
Phone (573) 996-2136

109 Plum St
Doniphan, MO 63935
Phone (573) 776-2136

109 Plum St
Ste 3
Doniphan, MO 63935
Phone (573) 996-2141

2002 Kanell Blvd
Poplar Bluff, MO 63901
Phone (573) 727-9130

2002 Kanell Blvd
Ste 101
Poplar Bluff, MO 63901
Phone (573) 614-1900

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1508925553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 OXEN PASTURE RD",
            "city": "DONIPHAN",
            "state": "MO",
            "postal_code": "639359453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 PLUM ST",
            "city": "DONIPHAN",
            "state": "MO",
            "postal_code": "639351277",
            "telephone_number": "573-996-2141",
            "fax_number": "573-996-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALANIAPPAN",
        "first_name": "MEYYAPPAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "114784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209990027",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doniphan, MO

Sources for this page

Verify at the official NPI Registry.