Individual provider Active NPI

Michael A. Meyer, AD.

  • Neurology Physician
  • Williamsville, NY
National Provider Identifier
1518933498
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD459621 Issued in PA
Practice address
400 International Dr
Williamsville, NY 14221-5771
Phone
(716) 631-3555
Fax
(716) 631-9525
NPI assigned
Feb 28, 2006
Last updated
Aug 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD459621 PA Primary
Neurology Physician 2084N0400X MD23704 TN
Neurology Physician 2084N0400X 219413 NY

Addresses

Primary practice location

400 International Dr
Williamsville, NY 14221-5771

Mailing address

400 International Dr
Williamsville, NY 14221-5771
Phone (716) 631-3555

Other identifiers 1

IdentifierTypeStateIssuer
3079047MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040729001186 NY Practitioner - Neurology 3779553300 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD459621PAMDNeurology Physician
MD23704TNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brain & Spine Medical Services PLLC Neurology CurrentSince Mar 1, 2020 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jul 18, 2016 Accepting new patients
Mercy Hospital of Buffalo CurrentSince Apr 14, 2014 Accepting new patients
Dia Invision Health CurrentSince Mar 1, 2020 Accepting new patients
CHS Neuroscience Group Neurology CurrentSince Apr 14, 2014 Accepting new patients
University Nuclear Medicine Inc PastSince Nov 1, 1997 Accepting new patients
University Neurology, Inc. Neurology Past Accepting new patients
Wny Petct LLC Past Accepting new patients
Suny Buffalo Past Accepting new patients

Locations

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

400 International Dr
Williamsville, NY 14221
Phone (716) 631-1516

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1518933498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 INTERNATIONAL DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215771",
            "telephone_number": "716-631-3555",
            "fax_number": "716-891-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 INTERNATIONAL DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215771",
            "telephone_number": "716-631-3555",
            "fax_number": "716-631-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "credential": "AD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD459621",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "MD23704",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "219413",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3079047",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.