Individual provider Active NPI

James A Meserow, M.D., F.A.C.O.G.

  • Maternal & Fetal Medicine Physician
  • Grand Forks, ND
National Provider Identifier
1609818657
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
MD-45006 Issued in IA
Practice address
3301 30TH Ave S Ste 102
Grand Forks, ND 58201-6009
Phone
(877) 522-1275
NPI assigned
Jun 12, 2006
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 61-4418 IL
Obstetrics & Gynecology Physician 207V00000X U0257 TX
Maternal & Fetal Medicine Physician 207VM0101X MC-0085 ID
Maternal & Fetal Medicine Physician 207VM0101X 036-059865 IL
Maternal & Fetal Medicine Physician 207VM0101X U0257 TX
Maternal & Fetal Medicine Physician 207VM0101X MD-45006 IA Primary

Addresses

Primary practice location

3301 30TH Ave S Ste 102
Grand Forks, ND 58201-6009

Mailing address

1200 Pleasant Street
South 2 Room 236
Des Moines, IA 50309-1406
Phone (515) 241-6228

Other practice location 1

1401 25th St S
Great Falls, MT 59405-5183
Phone (406) 731-8888

Other practice location 2

1401 25th St S
Great Falls, MT 59405-5183
Phone (406) 731-8888

Other practice location 3

1401 25th St S
Great Falls, MT 59405
Phone (406) 731-8888

Other practice location 4

4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-5000

Other identifiers 2

IdentifierTypeStateIssuer
036-059865MedicaidIL
1609818657MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AR, TX, MS, MI, AZ6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20040603000289 IL Practitioner - Obstetrics/Gynecology 4789666736
I20120220000786 AR Practitioner - Obstetrics/Gynecology 4789666736 Reassigns benefits to 1 organization
I20241217000023 TX Practitioner - Obstetrics/Gynecology 4789666736 Reassigns benefits to 1 organization
I20250221003145 MS Practitioner - Obstetrics/Gynecology 4789666736 Reassigns benefits to 1 organization
I20250311003607 MI Practitioner - Obstetrics/Gynecology 4789666736 Reassigns benefits to 1 organization
I20251124004117 AZ Practitioner - Obstetrics/Gynecology 4789666736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rush Medical College of Rush University, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2500 N State St
Jackson, MS 39216-4500
Phone (601) 898-4404

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61-4418ILMDAddiction Medicine (Family Medicine) Physician
MD-45006IAMDMaternal & Fetal Medicine Physician
036-059865ILMDMaternal & Fetal Medicine Physician
U0257TXMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Saint Mary's Medical Group CurrentSince Mar 1, 2025 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Feb 1, 2025 Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Sep 15, 2025 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Feb 1, 2025 Accepting new patients
Advantage Health/Saint Mary's Medical Group Current Accepting new patients
Banner - University Physician Specialists LLC CurrentSince Sep 15, 2025 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Feb 1, 2025 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Feb 1, 2025 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Arkansas Health Group Family Medicine CurrentSince Mar 1, 2012 Accepting new patients
Advantage Health Saint Mary's Medical Group CurrentSince Mar 1, 2025 Accepting new patients
Arkansas Health Group CurrentSince Mar 1, 2012 Accepting new patients
Midwest Neoped Associates LTD PastSince Jun 28, 2009 Accepting new patients

Locations

205 Westport Dr
Ste 1
Cabot, AR 72023
Phone (501) 843-6585

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

9501 Baptist Health Dr
Ste 800
Little Rock, AR 72205
Phone (501) 223-2080

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927

1441 N 12th St
Fl 2
Phoenix, AZ 85006
Phone (602) 521-5180

1441 N 12th St
Fl 3
Phoenix, AZ 85006
Phone (602) 521-5700

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

Interoperability endpoints

  • Direct secure messaging: jmeserow4043098@direct.trinity-health.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1609818657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PLEASANT STREET",
            "address_2": "SOUTH 2 ROOM 236",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091406",
            "telephone_number": "515-241-6228",
            "fax_number": "515-241-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 30TH AVE S STE 102",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016009",
            "telephone_number": "877-522-1275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 25th St S",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594055183",
            "country_code": "US",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 25th St S",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594055183",
            "country_code": "US",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 25th St S",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "59405",
            "country_code": "US",
            "telephone_number": "406-731-8888",
            "fax_number": "406-731-8876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 Alberta Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052707",
            "country_code": "US",
            "telephone_number": "915-215-5000",
            "fax_number": "915-215-8662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESEROW",
        "first_name": "JAMES",
        "middle_name": "A",
        "credential": "M.D., F.A.C.O.G.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "IL",
            "license": "61-4418",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "U0257",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "ID",
            "license": "MC-0085",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IL",
            "license": "036-059865",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "U0257",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IA",
            "license": "MD-45006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-059865",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609818657",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.