Individual provider Active NPI

Jason Michael Meckler, MD

  • Neurology Physician
  • Evansville, IN
National Provider Identifier
1659351419
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01076319A Issued in IN
Practice address
600 Mary St
Evansville, IN 47710-1674
Phone
(812) 450-7338
Fax
(812) 450-2193
NPI assigned
Jan 18, 2006
Last updated
Feb 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 01076319A IN Primary
Vascular Neurology Physician 2084V0102X 01076319A IN

Addresses

Primary practice location

600 Mary St
Evansville, IN 47710-1674

Mailing address

PO Box 3407
Evansville, IN 47733-3407
Phone (812) 450-7338

Other identifiers 6

IdentifierTypeStateIssuer
64107592MedicaidKY
0474086OtherKYCIGNA - NNS
50030793OtherKYPASSPORT/PASSPORT ADVANTAGE - NNS
000057058FOtherKYHUMANA - NNS
119122OtherKYSIHO - NNS
000000693358OtherKYANTHEM - NNS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050825000948 KY Practitioner - Neurology 1052342300 Reassigns benefits to 1 organization
I20160301002558 IN Practitioner - Neurology 1052342300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Louisville School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Hospital, Inc.Group PAC ID 9032021431, 410 clinicians

Practice addresses (Care Compare)

4011 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 450-7338

4099 Gateway Blvd
Newburgh, IN 47630-8947
Phone (812) 858-3051

4600 W Lloyd Expressway
Evansville, IN 47712-6517
Phone (812) 450-7246

600 Mary St
Evansville, IN 47710-1658
Phone (812) 450-2239

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
82.57
Promoting interoperability
100
Improvement activities
40
Cost
71.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP978KYMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Deaconess Hospital, Inc Neurology CurrentSince Mar 1, 2016 Accepting new patients
Deaconess Hospital Inc CurrentSince Mar 1, 2016 Accepting new patients
Community Medical Associates, Inc. CurrentSince Nov 1, 2010 Accepting new patients
Community Medical Associates, Inc. Vascular Neurology CurrentSince Nov 1, 2010 Accepting new patients
Louisville Neurology Associates PSC Neurology Past Accepting new patients

Locations

4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

Organizations & group practices 6

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1659351419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3407",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477333407",
            "telephone_number": "812-450-7338",
            "fax_number": "812-450-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MARY ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101674",
            "telephone_number": "812-450-7338",
            "fax_number": "812-450-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECKLER",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01076319A",
            "primary": true
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "IN",
            "license": "01076319A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64107592",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA - NNS",
            "identifier": "0474086",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT/PASSPORT ADVANTAGE - NNS",
            "identifier": "50030793",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA - NNS",
            "identifier": "000057058F",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO - NNS",
            "identifier": "119122",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - NNS",
            "identifier": "000000693358",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.