NPIMap

Individual provider Active NPI

Matthew Meier

  • Internal Medicine Physician
  • O'Fallon, MO
National Provider Identifier
1578574372
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DOR9J58 Issued in MO
Practice address
1002 Peruque Crossing CT
Suite 102
O Fallon, MO 63366-2362
Phone
(636) 294-5757
Fax
(636) 294-5742
NPI assigned
Aug 10, 2006
Last updated
Apr 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DOR9J58 MO Primary

Addresses

Primary practice location

1002 Peruque Crossing CT
Suite 102
O Fallon, MO 63366-2362

Mailing address

51 Catamaran Dr
Lake St Louis, MO 63367-2904
Phone (636) 561-2418

Other identifiers 1

IdentifierTypeStateIssuer
P00061101OtherMORAILROAD MEDICARE

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
I20091217000094 MO Practitioner - Internal Medicine 7416097787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Physical Therapy of Creve Coeur LLCGroup PAC ID 7719280841, 85 clinicians
Aging Well Health Care, LLCGroup PAC ID 1153232038, 236 clinicians

Practice addresses (Care Compare)

1002 Peruque Crossing CT
Suite 102
O Fallon, MO 63366-2381
Phone (636) 294-5757

12788 Olive Blvd
Creve Coeur, MO 63141-6211

7212 Balson Ave
Saint Louis, MO 63130-3001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DOR9J58MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew W Meier LLC CurrentSince Mar 1, 2003 Accepting new patients
Inpatient Consultants of Missouri Inc Internal Medicine Past Accepting new patients
SSM Health Care St. Louis Internal Medicine Past Accepting new patients

Locations

1002 Peruque Crossing Ct
Ste 102
O Fallon, MO 63366
Phone (636) 294-5757

500 Medical Dr
Wentzville, MO 63385
Phone (636) 327-1000

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Loving Care HospiceWentzville, MO, CCN 261594 Hospice Contracted Managing Employee Mar 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • LHCG XXV LLC

    dba Community Loving Care Hospice

    • Community Based Hospice Care Agency
    • Wentzville, MO
    • NPI 1417252529

    Contracted Managing Employee

    CMS ownership

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1578574372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 CATAMARAN DR",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633672904",
            "telephone_number": "636-561-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 PERUQUE CROSSING CT",
            "address_2": "SUITE 102",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662362",
            "telephone_number": "636-294-5757",
            "fax_number": "636-294-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEIER",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "DOR9J58",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00061101",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

Verify at the official NPI Registry.