Active NPI
James A Meserow, M.D., F.A.C.O.G.
- Maternal & Fetal Medicine Physician
- Grand Forks, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- MD-45006
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-059865 | Medicaid | IL | |
| 1609818657 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, AR, TX, MS, MI, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
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
| License | State | Type | Specialty |
|---|---|---|---|
| 61-4418 | IL | MD | Addiction Medicine (Family Medicine) Physician |
| MD-45006 | IA | MD | Maternal & Fetal Medicine Physician |
| 036-059865 | IL | MD | Maternal & Fetal Medicine Physician |
| U0257 | TX | MD | Maternal & Fetal Medicine Physician |
Practice roles
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
- 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.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
dba Trinity Health Medical Group
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1376862151
-
dba Baptist Health Family Clinic Cabot
- Family Medicine Physician
- Cabot, AR
- NPI 1689633448
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1437529245
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1598705055
-
dba Trinity Health Medical Group Orthopedics Grand Rapids
- Orthopaedic Surgery Physician
- Byron Center, MI
- NPI 1003515008
-
dba Trinity Health Medical Group
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1952340911
-
dba Baptist Health Surgical Clinic-Stuttgart
- Surgery Physician
- Stuttgart, AR
- NPI 1952840555
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1164255865
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
-
- Neurological Surgery Physician
- El Paso, TX
- NPI 1457913444
-
- Neurology Physician
- El Paso, TX
- NPI 1548389554
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.