Mark William Meyermann, D.O.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

DOS-910 Issued in HI

Practice address

1 Jarrett White Rd
Department of Radiology, Tripler Army Medical Center
Tripler Army Medical Center, HI 96859-5001

Phone

(808) 433-5220

NPI assigned

Jan 10, 2007

Last updated

Oct 25, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, HI, MO, MD, AZ, KY, IL, NH, PA, NY, NJ, TX, TN, CA, NV, WA, KS17 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 17

Specialty

Diagnostic Radiology

Education

Rowan University School of Osteopathic Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reono Bertagnolli a Medical GroupGroup PAC ID 6800709783, 47 clinicians

Community Mobile Diagnostics LLCGroup PAC ID 4789610643, 9 clinicians

Symphony Diagnostic Services No 1 LLCGroup PAC ID 5193638765, 20 clinicians

Kan-Di-Ki LLCGroup PAC ID 5991737140, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Central California Rehabilitation Hospital Inpatient rehabilitation facility, Bakersfield, CA, CCN 053044
• Rehabilitation Hospital of Northern Indiana, LLC Inpatient rehabilitation facility, Mishawaka, IN, CCN 153047

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score

66.41 of 100Reported as group

Quality

30.12

Promoting interoperability

80

Improvement activities

40

Cost

57.93

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations (25 of 48)

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: mark.meyermann.1@13131.direct.athenahealth.com

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.

• Community Mobile Diagnostics LLC

  dba Tridentcare

  • Diagnostic Radiology Physician
  • San Leandro, CA
  • NPI 1023104007

  AZ, GA, HI, MD, NV, NY, TX, WA

  Medicare reassignment Care Compare group
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • North Hollywood, CA
  • NPI 1750364345

  HI, NJ, TX

  Medicare reassignment Care Compare group
• Reono Bertagnolli a Medical Group

  dba Rely Radiology Group of California

  • Diagnostic Radiology Physician
  • San Leandro, CA
  • NPI 1134424005

  GA, HI, IL, KS, KY, MO, NJ, TX

  Medicare reassignment Care Compare group
• Symphony Diagnostic Services No 1 LLC

  dba MobilexUSA

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Hunt Valley, MD
  • NPI 1700865094

  GA, HI, MO, NH, NJ, TN, TX

  Medicare reassignment Care Compare group
• Bucktail Medical Center

  • Critical Access Hospital
  • Renovo, PA
  • NPI 1821083700
  Medicare reassignment NPD
• Sheppard Pratt Physicians, P.a.

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1518990712
  Medicare reassignment NPD
• Zwanger & Pesiri Radiology Group, LLP

  • Diagnostic Radiology Physician
  • Lindenhurst, NY
  • NPI 1477523413

  HI

  Medicare reassignment NPD
• American Diagnostics Services LLC

  dba TridentCare

  • Physiological Laboratory
  • Windsor Mill, MD
  • NPI 1639140387

  HI, TN, TX

  Medicare reassignment
• Community Mobile Ultrasound, LLC

  dba TridentCare

  • Diagnostic Ultrasound Physician
  • Oceanside, CA
  • NPI 1760620959

  GA, HI, MD, TX

  Medicare reassignment
• American Diagnostics Services LLC

  dba TridentCare

  • Physiological Laboratory
  • Hunt Valley, MD
  • NPI 1487954913
  NPD
• Biotech X-Ray Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Saint Louis, MO
  • NPI 1437108842
  NPD
• BTX Koi Inc

  dba Biotech X-Ray

  • Physiological Laboratory
  • Cincinnati, OH
  • NPI 1245696731
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bakersfield Rehabilitation Hospital, LLC

  dba Bakersfield Rehabilitation Hospital

  • Rehabilitation Hospital
  • Bakersfield, CA
  • NPI 1033780556

  Inpatient rehabilitation facility

  Care Compare affiliation
• Rehabilitation Hospital of Northern Indiana, LLC

  dba Rehabilitation Hospital of Northern Indiana

  • Rehabilitation Hospital
  • Mishawaka, IN
  • NPI 1639719602

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1609925338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-202 HALEPIO PL",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967895552",
            "telephone_number": "808-626-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "address_2": "DEPARTMENT OF RADIOLOGY, TRIPLER ARMY MEDICAL CENTER",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERMANN",
        "first_name": "MARK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "HI",
            "license": "DOS-910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karan Menon, MD
• Brenda Mercado, LCSW-C
• Francisco Sablan Mercado Jr., M.D.
• Hannah Lauren Metheny
• Sean Robert Meyer, DO
• Jami L. Migacz, M.S., R.D.
• Lisa Ai Mikami
• Susan Mikami, M.D.
• Christine Miller, RN
• Abhishek Chandra Mishra, DO

• Vascular & Interventional Radiology Physician in Tripler Army Medical Center, HI
• Providers in Tripler Army Medical Center, HI by specialty
• Vascular & Interventional Radiology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.

Verify at the official NPI Registry.