Individual provider Active NPI

Richard T Meredick, DPM

  • Podiatrist
  • Scranton, PA
National Provider Identifier
1558333591
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC001634L Issued in PA
Practice address
201 N Main Ave
Scranton, PA 18504
Phone
(570) 342-4009
Fax
(570) 342-4326
NPI assigned
Feb 3, 2006
Last updated
Mar 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC001634L PA Primary

Addresses

Primary practice location

201 N Main Ave
Scranton, PA 18504

Mailing address

201 N Main Ave
Scranton, PA 18504-3303
Phone (570) 342-4009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111027000676 PA Practitioner - Podiatry 3870684038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard T. Meredick, D.P.M., P.C.Group PAC ID 6507841947, 3 clinicians

Practice addresses (Care Compare)

201 N Main Ave
Scranton, PA 18504-3303
Phone (570) 342-4009

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue28
Removal of skin lesions61
Removal of nail tissue961
Removal or shaving of skin growth83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richard T Meredick DPM PC Podiatrist CurrentSince Dec 4, 1978 Accepting new patients

Locations

201 N Main Ave
Scranton, PA 18504
Phone (570) 342-4009

Organizations & group practices 1

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1558333591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N MAIN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185043303",
            "telephone_number": "570-342-4009",
            "fax_number": "570-342-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N MAIN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18504",
            "telephone_number": "570-342-4009",
            "fax_number": "570-342-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDICK",
        "first_name": "RICHARD",
        "middle_name": "T",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC001634L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.